Form

Angeles Crest Summer Staff Pastoral 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?*

Does the applicant profess to be a Christian?*

For how long?*

Does the applicant appear to be growing in his/her Christian walk?*

Yes

Not sure

If yes, what evidence can you cite that would demonstrate this growth?*

If yes, what type of ministry/service?*

Does the applicant take active interest in Christian ministry or service?*

Yes

Would you recommend the applicant for what he/she can contribute to our program, or what we can do for the applicant? Please explain.*

Are there any tendencies or traits that you feel might reduce the effectiveness of the applicant in the camping ministry?*

Please check the box that best describes the applicant in the following areas:*

Emotional Temperament:*

Over-responds emotionally

Tends to be moody

Sometimes well-balanced

Relatively Stable

Balanced and controlled

Well Balanced

Leadership Ability:*

Prefers to follow

Makes some effort to lead

Good Ability

Exceptional Ability

PERSONALITY:*

Shy and withdrawn

Reserved

Quiet

Friendly

Outgoing

Extrovert

Social Interaction:*

Avoided by others

Tolerated by others

Well liked

Sought by others

On a scale of one to four, please rate the applicant in the following areas: 1=Superior 2=Above Average 3=Average 4=Deficient

Honesty & Personal Integrity*

Attitude Towards Opposite Sex*

Ability to Work with Others*

Attitude Towards Authority*

Attitude Towards Hard Work*

Ability to Make Friends*

Emotional Stability*

Personal Appearance*

Initial Impression*

Physical Condition*

Tact*

Courtesy*

Judgment*

Initiative*

Punctuality*

Willingness*

Dependability*

Sense of Humor*

Ability to Adapt*

Concern for Others*

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:*