After-school Staff Reference

Name of Applicant

First

Last

Your Name

First

Last

Relationship to applicant:

Please explain:

How long have you known the applicant?

Your phone number:

Your email

Email

Confirm Email

We will email or telephone you to follow up and confirm the reference. Please make sure you use an email and telephone number you can be reached at during the day.

Applicant Evaluation

Displays emotional maturity and stability

Comments

Accepts guidance, supervision, and feedback

Comments

Demonstrates mature contact in peer relationships

Comments

Makes good decisions, keeps self safe and other safe

Comments

Desires to put the needs of others ahead of their own

Comments

Is socially aware, tactful, and non-judgemental

Comments

Is able to guide and motivate children

Comments

Respects organizational boundaries and policies

Comments

Please describe what you have observed when this applicant has worked with children/teens in a leadership role.

Would you entrust the applicant with the direct care and influence of your child?

Yes
No

Comments

Are there any characteristics which might reduce the effectiveness of the applicant in the camp program or community?

Yes
No

Comments

Has the applicant proven to you that he/she can control their emotions?

Yes
No

Comments

Did the applicant fulfill their commitments for their role? i.e. finished their contract, showed up to practice, submitted assignments on time, etc.

Yes
No

Comments

In what areas would you like to see the applicant grow?

Are there any additional comments you would like to make about the applicant?