Reference Forms

You may fill out the reference form on the site using the below form, or click here to print a reference form in PDF format.


Name of Applicant:  
Today’s Date:

The applicant above has applied for summer employment at Black Bear Lake Day Camp. Our employees spend all day with our campers and are responsible for their care. With this in mind, you have been chosen by the applicant to submit your comments on the applicant’s qualifications for this type of employment. The questions posed on this form are important to the Directors, who appreciate you answering them candidly. The information you provide will remain confidential. Your prompt reply is much appreciated. Thank you for your assistance.

How long have you known the applicant?
In what capacity?
Would you rehire this person?
Yes     No     N/A
If no, for what reason?
Is this the type of person you would want as a counselor for a child of your own?
Yes     No
Outstanding
Above Average
Average
Below Average
Unknown
Dependability
Outstanding
Above Average
Outstanding
Outstanding
Unknown
Cooperation
Outstanding
Above Average
Average
Below Average
Unknown
Always Leads
Frequently Leads
Seldom Leads
Follower
Negative
Leadership
Always Leads
Frequently Leads
Seldom Leads
Follower
Negative
Excellent
Good
Average
Fair
Poor
Understands Children
Excellent
Good
Average
Fair
Poor
Enthusiasm
Excellent
Good
Average
Fair
Poor
Team Player
Excellent
Good
Average
Fair
Poor
Patience
Excellent
Good
Average
Fair
Poor
Flexibility
Excellent
Good
Average
Fair
Poor
Communications
Excellent
Good
Average
Fair
Poor
Enthusiastically Recommend
Recommend
Average
Fair
Doubtful
Overall
Enthusiastically Recommend
Recommend
Average
Fair
Doubtful

What words or phrases immediately come to mind when describing the applicant?

Any additional comments or concerns about the applicant:

Name:
School/Business:
Title/Position:
Email: