Volunteer References

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Reference Form
For camp volunteer applicants

This form is for references for applicants for Camp Volunteer (Cabin Counselors, nurses and all others).

Thank you for helping the Diocese of Western Michigan with our summer youth camp staff application process. Please include as much information about the candidate as you are able. Please note, we are asking you to discuss the applicant’s weaknesses. These are not necessarily seen as a reason not to hire someone, but rather a place they can work and grow, so please include these. Both strengths and weaknesses are helpful when deciding the position a staff person will serve. Again, thank you for your time!

Applicant's information

* Indicates required field

Name of APPLICANT *

YOUR information

Your Full Legal Name *

First

Last

Your Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary mailing address

Your relationship with applicant *

Years known *

Do you know applicant from church? *

Yes No

If yes, does the applicant attend church regularly (a few times each month)? *

Yes No

Please tell us about the applicant

We ask for both strengths and weaknesses. Weaknesses are not always a reason to not hire a staff person and knowing both strengths and weaknesses will help as we arrange co-counselors and cabins and also do staff training.

Describe some of the applicant’s strengths and weaknesses. *

Interactions with Children and Youth

Have you seen the applicant interact with children or youth? *

Yes No

What age group? *

pre-school age grade school age middle school age high school age

What context? *

Please tell us about some strengths and weaknesses you've seen:

Interactions with children: *

Disciplinary techniques: *

Interaction with peers
How does this person work with co-workers & interact with friends? Please describe some strengths and weaknesses:

Peer interaction *

Interaction with adult supervisors or authority figures
How does this person work within a hierarchical structure? How does this person react and work in the group if decisions are made that he or she doesn’t agree with? Does this person take direction well? Please describe some strengths and weaknesses:

Supervisor interaction *

Recommendation
Remembering that this position is to work with children and youth in the church (both boys & girls, and of all ages), and that this person will be living with staff and campers for 24 hours a day for 6 straight days, do you recommend this person for a position at the Episcopal Youth Camp?

Do you recommend this person? *

Yes No Maybe

Comments *

Additional comments: If there you would like to further discuss anything about this recommendation or anything about the applicant, please contact the Camp Director.

Please state any additional comments, concerns or praise for this person that you would like the leadership of the camp to know about. *

Please type in your full legal name, as your electronic signature. *

Date *

Submit

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The Episcopal Youth Camp is part of the Episcopal Diocese of Western Michigan
www.edwm.org
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Home
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Contact us
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Reference FormFor camp volunteer applicants

Reference Form
For camp volunteer applicants