Reference Form

The person named below has applied to serve on summer staff at Covenant Cedars Bible Camp & Conference Center, a Christian Camp and Retreat Center in Hordville, Nebraska. The staff of Covenant Cedars is a vital ingredient to our
ministry. We strive to choose qualified people who love the Lord, Jesus Christ, and want to share His love with children.

Each position requires hard work and a willingness to serve in many capacities. Please fill out the following questions honestly & forthrightly, whether favorable or unfavorable. This information helps us to place the applicant in the correct position and build upon their weaknesses. Covenant Cedars thanks you for assisting us in our ministry!

Applicant Information
*REQUIRED
Contact Information
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*REQUIRED
Personal Reference Questions
Please check all qualities that describe the applicant in the following areas:
Please rate the applicant in the following areas, comparing the applicant to other people his or her age. Please skip the question if you dont know enough information to rate the applicant.