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Bethany Hills Camp Directors/ Counselors/ Volunteer Reference Form
Our goal is to provide the best and safest camping experience for all children attending camp. The information you provide in this form helps us accomplish that goal. All information provided is kept in strictest confidence.
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* Indicates required question
Email
*
Your email
Today's Date
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MM
/
DD
/
YYYY
Applicants Name
*
Your answer
Reference's Name
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Your answer
Reference's Address
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Your answer
Reference's Phone Number
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Your answer
How long have you known the applicant?
*
Your answer
In what capacities?
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Your answer
What church activities is this person involved in?
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Your answer
How would you rate this person in the following areas?
Rating Scale: 1-Excellent, 2-Good, 3-Average, 4-Needs improving, 5-Don’t Know
Character
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Choose
1
2
3
4
5
Compassion
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Choose
1
2
3
4
5
Personal Habits
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Choose
1
2
3
4
5
Working with Youth/Children
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Choose
1
2
3
4
5
Working with adults
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Choose
1
2
3
4
5
Christian Maturity
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Choose
1
2
3
4
5
Responsibility
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Choose
1
2
3
4
5
Emotional Ability
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Choose
1
2
3
4
5
Receives constructive feedback well
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Choose
1
2
3
4
5
Are there any additional comments you would like to make about this person?
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Your answer
Can you, without hesitation, recommend this person to be a camp counselor, director, or volunteer
*
Yes
No
If you answered no above, please explain
Your answer
Send me a copy of my responses.
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