2023 Camp Seymour Teacher Reference Form

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One of your students has requested you complete a reference form for Camp Seymour. He/she is requesting to be a counselor at Briarcrest's 5th grade camp. Please complete this reference form honestly and please keep this confidential. They need at least two teacher references and will not be considered if two aren't turned in. References are DUE by April 21. Thank you.

Email *

Your name *

Your position: *

Your email: *

This reference is for (student's first and last name) *

Please rate the applicant on the following qualities *

Poor

Fair

Satisfactory

Very good

Excellent

What type of role model would the student be for elementary school students?

How well does this student interact with other students in school?

What is the student's general outlook on life?

How would you describe the helpfulness of this student?

Please clarify any of your above ratings if you feel it would be helpful for us to understand the student

Would you recommend him/her as a camp counselor? Why or why not? *

As a teacher, do you think that he/she is responsible enough to miss three days of school without falling behind? *

Anything else we should know about this student?

Send me a copy of my responses.

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