2024 Reference Form | Lake Ann Camp

Applicant

Applicant Name*

First Last

Applicant Desired Position*

Referent

Referent Name*

First Last

Referent Phone*

Referent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Referent Occupation*

Referent Employer*

The above named applicant has applied for a summer staff position at Lake Ann Camp. The Lake Ann Camp style of camping involves a great deal of hands on contact between staff and campers. We have a very serious attitude about the type of staff that we hire. They must be able to show a consistent godly attitude even under adverse circumstances. Thank you for conscientiously helping us to select those people who can consistently impact the young people entrusted to our care.

How long have you known the applicant?*

In what capacity?*

How well do you know the applicant?*

Qualifications

Please answer the questions below.

Responsibility*

Initiative*

Industry*

Leadership*

Emotional*

Judgment*

Motivation*

Cooperation*

Integrity*

Personable*

Communication*

Stress*

Sociability

Please mark all which apply to the applicant.

Sociability

What do you consider special about the applicant?*

How would you describe the applicant's relationship with God?*

If my child were attending Lake Ann Camp this summer, the applicant as a support worker would be:*

I think a summer at Lake Ann Camp would be (choose the most appropriate answer)*

Comments*

Email*

I prefer to discuss this on the phone.

Please call me.

Phone*

Signature*