Camp Arnes

Staff Reference Form - to be completed by Pastor or other Christian Worker

First Name
Last Name:
Title:
Organization:
Phone:
E-mail:
First Name of Applicant:
Last Name of Applicant:

Objective Rating

Under each general heading, check the phrase that most accurately describes the applicant's habitual behaviour with regard to that specific trait. Please remember that it will be only the truly exceptional person that ranks high in all categories.

1.	How well is the applicant able to direct and influence other? Poor leader, incapable of director others Usually follows the lead of others Normally successful in directing and leading others Very successful in leading others
2.	How well does the applicant work with others Cooperates grudgingly; makes trouble - obstructional Limited cooperation; neglects common good for own interests Cooperates with others toward accomplishment of goal Exceptionally successful working with others; inspires confidence
3.	How does this person react to suggestions or criticisms by others? Takes criticism as a personal insult / resents suggestions Listens to suggestions but may act without considering them Follows suggestions willingly Asks for criticisms and suggestions
4.	How does the applicant demonstrate a lifestyle committed to spiritual growth and integrity Fails to carry out convictions under stressful situations Acts according to convictions in most situations Carries out principles and convictions constantly and boldly even in the face of obstacles
5.	How responsible is the applicant? Irresponsible even under supervision With constant supervision will do a satisfactory job Needs detailed instructions with regular checks of work Carries out routine activity on own accord Exceptionally able to accomplish work without close supervision
6.	How well does this person apply energy and persistence in completing a task? Needs much prodding to complete work Rather indifferent; does not finish job Completes assigned tasks of own accord Exceptional perseverance; does more than expected
7.	How well does the applicant control emotions? Easily depressed, irritated or elated Occasionally unresponsive Unresponsive; apathetic Tends to be overly emotional Usually well-balanced Well-balanced

Objective Evaluation

With "1" as the lowest or poorest end of the scale and "10" as the highest or best, please circle the appropriate number.

	Poor		Average			Good			Superior
	1	2	3	4	5	6	7	8	9	10
Teachability
Ability to follow instructions
Outgoing
Emotional Balance
Ability to work with children
Ability to work with youth
Fulfilling obligations
Sense of humor
Promptness
Willingness to serve others
Leadership ability
Tactfulness
Ability to get along with others
Trustworthiness
Enthusiasm
Ability to follow-through
Temper control
Friendliness

Narrative Report

Please state briefly specific instances in which you have observed the applicant's behavior as it applies to any of these items. If you lack personal knowledge on a given topic, please say so.

1.	How long have you know the applicants? In what capacity?
2.	Would you be willing to hire this person to work in any of the positions he/she is asking to be considered for at Camp Arnes? No Yes Please explain:
3.	I expect the applicant's work to be: SUPERIOR GOOD AVERAGE POOR
4.	Would you be willing to place your child under the applicant's direct influence and care? No Yes Please explain:
5.	Maturity of judgement. How does this person react in stressful situations, i.e. making decisions?
6.	Dependability. Can he/she be relied upon? Does this person weaken in absence of supervision?
7.	From you observation of the applicant, please list: Three Strongest Points: 1. 2. 3. Three Weakest Points: 1. 2. 3.
8.	Are you recommending the applicant because of: What he/she can contribute to Camp Arnes What Camp Arnes can do for him/her Both
9.	I recommend I do not recommend................this person for a summer staff position
10.	Please provide any additional comments you feel will help us consider this applicant:

If you feel there is additional information that would be best communicated over the phone, please check this box. A Camp Arnes representative will contact you.