REFERENCE FORM – Staff Reference Form for Camp Walden Co-Ed New York Summer Overnight Camp

One way to send a reference to Camp Walden is by filling out and submitting the online form below.

Applicant's Name*
Position*
We are considering this applicant for a position on our camp staff. We would greatly appreciate your cooperation in honestly sharing with us what knowledge you have concerning this individual. All information that you provide will be considered confidential.
Reference's Name*
References's Title/Position
Reference's Phone Number*
Reference's Email*
Reference's Relationship to Applicant*

Please evaluate the applicant in the following areas by checking in the appropriate column:
	Excels	Good	Average	Fair	Unable to Judge
Demonstrates willingness to learn
Ability to organize responsibilities and tasks
Reliability and promptness in handling tasks
Punctuality and regularity in attendance
Ability to function as a part of a team
Demonstrates leadership skills
Degree of flexibility and ability to adapt
Ability to accept evaluation of performance
Handles stressful situations successfully
Demonstrates enthusiasm and creativity
Demonstrates loyalty to job and administrators
Demonstrates understanding of children
Ability to relate and give guidance to children

How long have you known the applicant?*
Would you want the applicant to be your child's summer camp counselor?*	Yes No
My contact with this applicant is/was:	Almost daily Frequently Infrequently Not Applicable
Have you observed this person working with children?*	Yes No
Comments:
Thank you for taking the time to provide valuable input on this applicant.