LIFT & TEAM reference | Lake Ann Camp

Applicant

Applicant Name*

First Last

Referent Name*

First Last

Referent Phone*

Email*

Referent Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Church Name (if applicable)

Church Position (if applicable)

How long have you know the applicant?*

How well do you know him/her?*

In what ways do you see the applicant as being prepared for a year long internship at LA Camp?*

How do you feel an internship will benefit the applicant?*

In what ways will the camp benefit from having the applicant as an intern?*

Comments/Concerns

Signature*