Staff Reference Form - Camp Wicosuta

Counselor Candidate's Name

First

Last

Reference Name

First

Last

Title

Email

Phone

Best Time to Be Reached (EST Please)

How long and in what context have you known the applicant?

What were the responsibilities this person had in this role?

Professional reliability and attitude

Maturity in social and intellectual areas

Supports policies

Acceptance of constructive feedback

Cooperation with supervisors

Concern for the individual child

Success in teaching/coaching (known or projected)

Group management

Enthusiastic & vivacious in working with children

Attitude towards work

Consistency

Please identify and explain 3-5 traits the applicant has that will make them a role model for girls ages 7-15

What would you consider to be a stand out strength of this person?

In what area(s) would you have liked to have seen some growth or development?

To the best of your knowledge, does the applicant have any history of actual or alleged child abuse or sexual abuse, or ever been involved or convicted regarding a felony or misdemeanor?

Yes
No

Considering the applicant will be working with children, please add any additional comments of support or caution:

Are you a robot?