Personal References

Applicant's Name

Position Applied For

For Year

Your Name

Your E-Mail Address

Your Phone #

Relation to Applicant

How Long Have You Known Applicant?

1. Spiritual Maturity and Stability 1. Spiritual Maturity and Stability Poor Below Average Average Good Superior

2. Christian Example 2. Christian Example Poor Below Average Average Superior

3. Sensitive to Spiritual Counseling 3. Sensitive to Spiritual Counseling Poor Below Average Average Superior

4. Evidence of Christian Growth 4. Evidence of Christian Growth Poor Below Average Average Superior

5. Spiritual Leadership 5. Spiritual Leadership Poor Below Average Average Superior

6. Church Attendance & Participation 6. Church Attendance & Participation Poor Below Average Average Superior

1. Performance of Specified Jobs 1. Performance of Specified Jobs Poor Below Average Average Superior

2. Ability to Work Well With Others 2. Ability to Work Well With Others Poor Below Average Average Superior

3. Ability to Follow Instructions 3. Ability to Follow Instructions Poor Below Average Average Superior

4. Industry, Resourcefulness, Enthusiasm 4. Industry, Resourcefulness, Enthusiasm Poor Below Average Average Superior

5. Responsible / Can Work Unsupervised 5. Responsible / Can Work Unsupervised Poor Below Average Average Superior

6. Willing to Learn / Try New Things 6. Willing to Learn / Try New Things Poor Below Average Average Superior

1. Get Along with Others 1. Get Along with Others Poor Below Average Average Superior

2. Emotional Maturity and Stability 2. Emotional Maturity and Stability Poor Below Average Average Superior

3. Social Awareness, tact, friendliness 3. Social Awareness, tact, friendliness Poor Below Average Average Superior

4. Outgoing / Makes Friends Easily 4. Outgoing / Makes Friends Easily Poor Below Average Average Superior

5. Acceptance by Peers 5. Acceptance by Peers Poor Below Average Average Superior

1.Honesty 1.Honesty Poor Below Average Average Superior

2. Truthfulness 2. Truthfulness Poor Below Average Average Superior

3. Reliability 3. Reliability Poor Below Average Average Superior

4. Morality 4. Morality Poor Below Average Average Superior

5. Faithful to Commitments 5. Faithful to Commitments Poor Below Average Average Superior

6. Attitude towards Authority 6. Attitude towards Authority Poor Below Average Average Superior

7. Trustworthiness with Children 7. Trustworthiness with Children Poor Below Average Average Superior

Do you know of any reason that this person should NOT be allowed to work with children? Do you know of any reason that this person should NOT be allowed to work with children? Yes No

If yes, please explain here:

Do you recommend the above to serve at Camp Kearney? Do you recommend the above to serve at Camp Kearney? Yes No

Please add any additional comment you may have here: