Bethel2020ReferenceForm

Your Full Name*

First NameLast Name

Your Phone Number*

Your Email*

example@example.com

The name of the person for whom you are filling out this reference form

First NameLast Name

What is your relationship to the applicant?*

How well do you know the applicant?*

What level of communication have you had with the applicant in the last year?*

FrequentModerateLittleOther

Work Ethic

Trustworthiness

Evidence of Being a Team Player

Flexibility

Tact

Emotional Balance

Anything you would like to elaborate on concerning the above?

Do you feel the applicant is spiritually, emotionally, and physically ready for a demanding summer?*

YesNoUnsureOther

Do you know of any lifestyle, conduct, or activity in which this individual is or has been involved that could hinder his or her ministry with us, or impede the program’s credibility?*

YesNoOther

Do you have any knowledge of this person ever being convicted of a child abuse, child neglect, or sexual abuse offense?*

YesNo

Do you have any knowledge of this person having ever been formally accused in a written statement of a crime of any nature or of a pending criminal or civil trial?*

YesNo

Is there any reason you are aware of that the applicant should not be allowed to work with children in a residential camp setting?*

YesNo

Have you ever noticed any racial prejudice in the life of the applicant that would make cooperation with those of another race or nationality difficult?*

YesNo

How well does the applicant receive instruction or deserved criticism from a supervisor or teacher?*

How well does the applicant know the bible?

Above AverageAverageBelow AverageUnsure

Please describe the applicant's judgement and common sense.*

Would you hire this person for this ministry if you were in the position to do so?*

If yes, do you think this person should work at camp because of what he/she can contribute to our program, or because of what we can do for him/her? If no, why? Please explain in as much detail as possible.*

Please place a check in the box that best describes the applicant.

Please CHECK ALL that apply.

Please skip any questions in which you have no knowledge.

Peer Relationships

Family / Home Relationships

Response to stress / pressure

Applicant relates to the opposite sex

Level of Spiritual Maturity

Ability to work independently and under supervision

Working Relationships

When conflict arises, this person generally responds with:

Is there anything else you think we should know about the applicant or their suitability to be a part of the summer staff at Bethel? This is your chance to sing their praise or confidentially warn us about a potentially bad hire.

By signing below I am stating that in my opinion this applicant is:*

A Must HireHighly RecommendedRecommended

Signature

Confidential Reference Form

Information about the Applicant

Personality

Suitability for Employment

Digital Signature