Reference’s Name(required) Counselor’s name(required) Camp Session(s) Counseling (i.e. Younger Midler, High School 1…) (required) Address (mailing/physical, city, state, ZIP)(required) Email(required) Phone Number(required) How long have you known this person and in what capacity?(required) Does this person relate well with adults?(required) Select one option Yes No Is this person active in their local church?(required) Select one option Yes No If yes, in what capacity? Does this person seem mature in handling discipline?(required) Select one option Yes No Does this person seem to respond well to authority?(required) Select one option Yes No If you had a child under this person’s care in their cabin, would you feel good about it?(required) Select one option Yes No Why or why not?(required) How does this person relate with children and youth?(required) How long has this person been at their place of employment?(required) Are you aware of any accusations of misconduct against this person?(required) Select one option Yes No Would you recommend this person as a camp counselor without reservations?(required) Select one option Yes No If not, what are your reservations? Send
