Reference Groups/Retreats Director

Today's Date:*

Name of Applicant:*

First Last

What qualities and special abilities does this person possess that would make him/her a good candidate for working at Camp Crosley YMCA? Please describe.*

Do you have any reservations about this person working at Camp Crosley YMCA?*

Yes
No

Please Explain:*

Would you please rate the applicant to the best of your knowledge by checking the appropriate column below. (If you feel that your knowledge is not adequate in any of these areas, please select "N/A".*

	1 (Weak)	2 (Fair)	3 (Good)	4 (Very Good)	5 (Excellent)	N/A
Are they responsible?
Are they dependable?
Are they punctual?
Do they work well with others?
Do they have a strong work ethic?
Can they accept constructive criticism?
Do they take initiative?
Are they able to handle stress?
Can they see a task to completion?
Are they a leader?
Do they show sound judgement?
Do they use common sense?
Do they exhibit a positive attitude?
Are they energetic and enthusiastic?
Are they a person of integrity?

1=Weak

If you answered "No" to any of the above questions, please explain:

How long have you known the applicant?*

In what capacity have you known the applicant?*

Is there any additional information concerning the applicant which would be of value to us? Please describe.*

Your Information

Name:*

First Last

Title:

Daytime Phone:*

Email:*

Can we call you for more questions about the candidate?*

Yes
No
N/A

If yes, when would be the best time to give you a call?

7:00 am-9:00 am
9:00 am-11:00 am
11:00 am-2:00 pm
2:00 pm-5:00 pm
After 5:00 pm

Signature*

Reference Groups/Retreats Director

Camp Crosley Groups and Retreats Director Reference Form

Your Information