Camp Ronald McDonald Reference Request

An individual has applied to work at Camp Ronald McDonald at Eagle Lake as a volunteer this summer. They have given your name as a reference that could evaluate their performance as well as potential for the above position. Please give careful consideration to the ratings below.
REFERENCE REQUEST FOR
Today's Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your Name & Position
Company Name & Address
Relationship with applicant
1. Performance Evaluation
Please check the items for which you have sufficient knowledge about applicant:

Rows	Excellent	Very Good	Good	Fair	Not Applicable
Integrity
Work Habits/ Organization
Adaptability/ Flexibility
Attitude
Relationship with Co-Workers
Leadership Abilities
Ability to work in groups
Responsibility
Ability to relate to children
Children's response to applicant
Maturity
Perseverance

2. Objective Rating
Under each heading, check the phrase that most accurately describes applicant:
Ability to direct and influence others:
Ability to work & cooperate with others:
Ability to relate and give guidance to children:
Ability to follow through with job assignments:
Ability to control emotions
How would you rate applicant as a role model for children:
Would you be willing and completely comfortable leaving your children under applicants supervision? (Please explain)
Does applicant show signs of any behavior that would cause concern when working with children?
How many years have you known applicant?
How do you know applicant?
Please comment on the applicant's suitability for this program:
I declare that to the best of my knowledge the information I have given in this reference is correct and complete
Name
First NameLast Name
E-mail
Phone Number
Area CodePhone Number
Should be Empty:

1. Performance Evaluation