Camp Crosley Staff References REFERENCE FOR(Required) Name of Applicant: First and Last NameNATURE OF RELATIONSHIP OF APPLICANT(Required)Teacher/AdvisorProfessional/CivicPersonalHOW LONG HAVE YOU KNOWN THIS PERSON?(Required) IN WHAT CAPACITY?(Required) HOW DO YOU KNOW THIS PERSON?(Required) ONE ON ONE BASIS GROUP CONTEXT IF YOU ARE A FORMER EMPLOYER, WOULD YOU ___THE APPLICANT REHIRE NOT REHIRE IF YOU ANSWERED 'GROUP CONTEXT', WHAT SIZE AND TYPE? RATE THE APPLICANT:Please rate the applicant in the following categories on a scale of 1-5 (1 representing low/poor/never; 5 representing high/best/always. Select N/A if you are completely unsure or if you have no prior knowledge in a particular area.(Required)OneTwoThreeFourFiveN/APromptnessFollows InstructionsPolicy AdherenceFulfills ObligationsFollow Through AbilityEmotional Self ControlStress ManagementSelf ImageMental AlertnessDecision MakingMaturityFriendlyIntegrityTrustworthyAble to get along w/ othersLeadership AbilityTeachabilityMoral CharacterPositive AttitudeServant HeartedADDITIONAL COMMENTSI EXPECT THE APPLICANT'S RESPONSE TO AUTHORITY TO BE(Required) SUPERIOR GOOD AVERAGE POOR ADDITIONAL COMMENTSI EXPECT THE APPLICANT'S WORK TO BE(Required) SUPERIOR GOOD AVERAGE POOR ADDITIONAL COMMENTSI WOULD DESCRIBE THE APPLICANT'S PERSONALITY AS (CHECK ALL THAT APPLY)(Required) LOYAL QUIET FRIENDLY ORGANIZED LEADER FOCUSED OUTGOING ADDITIONAL COMMENTSCAMP CROSLEY'S FIRST PRIORITY IS THE SAFETY AND WELL-BEING OF OUR CAMPERS AND STAFF MEMBERS. CAMP CROSLEY HAS ZERO TOLERANCE FOR CHILD ABUSE AND TAKES ALL ALLEGATIONS OF ABUSE SERIOUSLY.TO YOUR KNOWLEDGE, HAS THE APPLICANT EVER BEEN ACCUSED OF PHYSICALLY, SEXUALLY, OR EMOTIONALLY ABUSING, MOLESTING, OR HAVING OTHERWISE INAPPROPRIATE CONTACT WITH A CHILD OR AN ADULT(Required)YESNOCOMMENTSTO YOUR KNOWLEDGE, HAS THE APPLICANT EVER PHYSICALLY, SEXUALLY, OR EMOTIONALLY ABUSED, MOLESTED, OR HAD OTHERWISE INAPPROPRIATE CONTACT WITH A CHILD OR AN ADULT(Required)YESNOCOMMENTSIF I HAD A CAMP AGE CHILD I _________CONSIDER THE APPLICANT TO BE A GOOD INFLUENCE WHEN IN CONTACT WITH MY CHILD.(Required)DO/WOULDDO NOT/WOULD NOTCOMMENTSI _______ RECOMMEND THE APPLICANT AS A SUMMER CAMP COUNSELOR/STAFF MEMBER(Required)DO/WOULDDO NOT/WOULD NOTCOMMENTSWHAT SPECIFIC REASON WOULD YOU GIVE FOR HIRING OR NOT HIRING THE APPLICANT(Required)YOUR NAME(Required) First Last YOUR PHONE NUMBERYOUR EMAIL(Required) YOUR SIGNATURE Reset signature Signature locked. Reset to sign again