2013 Camp Four Echoes Staff Reference Check Form
The applicant has given permission to ask about your personal knowledge of his/her work. We are considering him/her for a camp staff position at Camp Four Echoes Girl Scout Camp. If you would assist us in our selection process, it would be greatly appreciated. Please give us your candid opinion of this person by completing questions below.
Your Name:
Your Phone Number:
Your Email Address:
Applicant’s Name:
In what capacity have you known the applicant? Co-Worker Friend Employer Teacher/Professor Other (please specify)
How long have you know the applicant?
How frequently have you been in the contact with the applicant? Rarely Monthly Weekly Daily
What is your best advice on how to supervise this individual?
Please describe his or her organizational and planning skills:
Describe applicant’s ability to work with his or her peers, both individually and in groups:
Can you speak to the applicant’s ability to work with children? Yes No If so, please describe:
What are major strengths of the applicant?
We realize that everyone has areas in which they could improve. What areas do you believe the applicant has room to grow in? What are their weaknesses?
Have you ever observed this individual in an emergency situation? Yes No If so, please describe. How did they respond to the situation?
Would you feel comfortable if this individual was your child’s camp counselor? Yes No Why or why not?
Do you have any reservations about us hiring the applicant?
Please feel free to add any additional comments below.
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