NYYM Teen Camp Reference Form

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New York Teen Camp Non-Church Reference Form

Email *

Name *

address *

Phone *

How long have you known the applicant and in what relationship? *

Would you recommend the applicant without reservation to be a leader a Youth Camp? *

Yes

What leadership ability's has the applicant displayed? *

What special talents has he/she shown? *

State briefly your opinion on the applicants relationship with Christ *

How would you rate the applicants Christian standards (1=lowest, 5=highest) *

Do you have any reason to believe the applicant uses illegal drugs, alcohol, or tobacco? *

Yes

To your knowledge does the applicant have any emotional, metal, or physical handicaps that would prevent them from serving at youth camp? *

Yes

If you answer yes above, please give a brief explanation

To your knowledge has the applicant ever been charged with, convicted of, or pled guilty to a criminal offense (excluding minor traffic violations) *

Yes

If you answer yes above, please give a brief explanation

Please list the various ministries or activities the applicant has been involved in

Please rate the applicant in the following areas *

Good

Fair

Poor

Spiritual depth and maturity

Ability to get along with others

Follows through on instructions

General attitude

Disposition

General appearance

Faithfulness to church

Faithfulness to the ministry in which they serve?

I am personally acquainted with the applicant, and in my opinion he/she is qualified to work with minors of any age. I know of no facts or accusations that would disqualify the applicant from working with minors. I therefore recommend with full confidence the applicant. *

Yes

I would prefer to discuss in person

Required

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