Staff Reference Form - Black Bear Lake Day Camp

Name of Applicant*

First

Last

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?

Is this the type of person you would want as a counselor for a child of your own?

Dependability

Cooperation

Leadership

Understands Children

Enthusiasm

Team Player

Patience

Flexibility

Communication

Overall

Name*

First

Last

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

Any additional comments or concerns about the applicant:

School / Business

Title / Position

Email*

I consent to my submitted data being collected and stored.*