Form

Angeles Crest Summer Staff Personal Reference Form

Thank you. Your personal, confidential reference matters.

We are looking for staff who will help us create life-impacting experiences that enable young people to know Jesus Christ and grow in their relationship with Him. Thank you for your help in evaluating this individual for a potential summer staff position at Angeles Crest Christian Camp.

Name of Applicant:*

How long have you known the applicant?*

In what capacity?*

Leadership Ability:*

Prefers to follow

Makes some effort to lead

Good Ability

Exceptional Ability

Emotional Temperament:*

Over-responds emotionally

Tends to be moody

Sometimes well-balanced

Relatively Stable

Balanced and controlled

Well Balanced

Personality:*

Shy and withdrawn

Reserved

Quiet

Friendly

Outgoing

Extrovert

Social Interaction:*

Avoided by others

Tolerated by others

Well liked

Sought by others

Please rate the applicant in the following five areas:

Attitude: A reflections the applicant's disposition toward work and those in authority.*

Poor

Deficient

Average

Good

Excellent

Adaptability: A reflection of the applicant's ability to adjust to meet the challenge of new conditions, duties, or responsibilities.*

Poor

Deficient

Average

Good

Excellent

Dependability: A reflection of the applicant's reliance and trustworthiness in completing tasks, duties, and responsibilities.*

Poor

Deficient

Average

Good

Excellent

Industry: A measure of the applicant's diligence in making effective use of work time.*

Poor

Deficient

Average

Good

Excellent

Quality: A measure of the applicant's accuracy and thoroughness of workmanship.*

Poor

Deficient

Average

Good

Excellent

Please make any additional comments regarding the above five areas.*

Noteworthy accomplishments or qualities:*

Areas requiring improvement:*

Would you place your child under the direct charge and influence of the applicant?*

Additional Comments:*

Name:*

Date:*

Year/Month/Day

Position/Organization:*

Email*

Phone:*