Your Information:

  
Your name Occupation
Business phone Home Phone:
Email
   

Reference:

  
Reference For (name of candidate):
What is your relationship to the applicant?
How long have you known the applicant?
Briefly describe the applicants background (include family, school, work, etc.)
Please provide a brief description of the applicants character and personality
Does the applicant have any special skills that might apply to a summer camp setting? How would you rate the applicants competence and experience with these skills
   
Please rate the applicants skills in the following categories:
Administration (planning, orginization, time management)
Leadership (motivating others, group skills, coaching)
Interpersonal (human relations, conflict management)
Communication (listening, oral communication skills)
Adaptability (self confidence, flexibility, stress management)
Motivation (goal setting, accomplishments, personal growth)
Cognative (judgement, problem solving, innivation, resourcefulness, attention to detail)
   
How would you characterize the applicants abilities with children?
What age groups would the applicant be most compatible with?
   

I certify that all information provided in theis employment application is true and complete. I understand that any false information or ommission may disqualify me from further consideration for employment and may result in my dissmissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, law enforcememnt agency, current employer (except as previously noted), past employers and orginizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and orginizations from any legal liability in making such statements.

Signature Date: