Reference Form

Name of Camp Tawonga Program Applicant*

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Last

The applicant named above is applying to a Camp Tawonga leadership program.

Counselor/Specialist in-Training: Participants spend four weeks in an intensive kid-focused training learning new skills for working with children and each other. The program is also enhanced by opportunities and responsibilities to use their newly acquired knowledge to work with younger campers.

This program can be a very challenging experience – physically, intellectually and emotionally – that have direct impact on younger campers and the broader Camp community. Please help us to make a determination about the applicant’s suitability for participation by responding to the following questions:

How long have you known the applicant?*

In what capacity did you work with the applicant?*

Applicant Ratings

Please comment on the following using a scale of 1-5 where 1= poor; 2= below average; 3= average; 4= good; 5=superior.

Applicant's ability to adapt to new circumstances and challenging situations*

Applicant's ability to work as a part of a team and cooperate with peers and supervisors*

Applicant's ability to put the needs of others above his/her own needs*

Applicant's ability to self-motivate and work without supervision*

The applicant will participate in daily study or teaching sessions during which s/he will be expected to contribute to discussion. Explain the applicant's level of maturity and interpersonal skills both socially and in a learning environment*

What, if any, doubts or hesitations do you have about recommending this applicant?*

Overall, how would you rate the suitability of the applicant for participation in this program?*

Strongly recommend
Recommend
Recommend with some reservation
Do not recommend

Is there anything further you would like to share or feel we should know regarding this applicant?

Your Contact Information

Name*

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Employer

Position

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Email

Address

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State / Province / Region

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Applicant Ratings

Your Contact Information

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