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Staff Reference Form

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.

An asterisk signifies a required field.








  • MM slash DD slash YYYY

  • 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.