Covenant Cedars Bible Camp : Applications & Downloads : Reference Form

Name of Applicant (Required)

First Name (Required)

Last Name (Required)

Organization (Required)

Phone (Required)

E-mail address (Required)

How long have you known the applicant and in what capacity?

How well do you know the applicant?

How recent is your contact with the applicant?

Who would benefit more from the applicant's time at Covenant Cedars, the applicant or campers? Why?

Would you feel comfortable leaving your own child in the care of the applicant?

Yes
No

Work Habits

Leadership Ability/Style

Usually follows
Servant
Poor ability
Dominant
Average ability
Takes over
Good ability
Exceptional ability
Natural

Social Interaction with Peers and Adults

Personality

Emotional Stability

Unstable
Well-balanced
Often over responds
Listens to others' needs
Relatively stable
Needy
Tends to be moody
Self-controlled

Flexibility

Judgement

Dependability

Rapport with Kids

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Integrity

Humility

Cooperation

Health/Stamina

Team Participation

Creative

Decision Making

Servant Heart

First Impression

Spiritual Maturity

Christian Value

Rebelliousness

Rudeness

Critical Attitude

Argumentativeness

List two words that best describe the applicant.

What is the greatest strength of the applicant?

What is one area you would encourage the applicant to grow?

If you have any questions or concerns about this person but would rather discuss over the phone, check Yes and we will contact you

Yes

Applicant Information

Contact Information

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.