Thank you for agreeing to serve as a reference for ____________________________________
for a position on the summer camp staff of Luther Park. Please give these questions some thoughtful consideration and answer to the best of your knowledge. Your comments will be helpful in providing information on the applicants character and qualifications, and will be kept in strict confidence.
Please return this form to:
Staff Application
Luther Park Bible Camp
30376 Lakes Drive
Danbury, WI 54830-9508

How do you feel that this person would work on a camp staff?

What are the strengths and weaknesses of this individual?

How well does this person relate to peers? To supervisors? To members of the opposite sex?

Have you seen this person work with children? How well does he/she relate?

Does this person put their Christian faith into action in their life? How can you tell?

Do you know of any reason this person should not be hired?

How does this person express his/her beliefs?

Rate the applicant on the following qualities. Please comment on any.
(Circle a number. Values range from lowest to highest from 1 to 6)

Self-motivation___________________1 2 3 4 5 6

Consideration of others’ needs ______ 1 2 3 4 5 6

Responsibility and follow-through____1 2 3 4 5 6

Energy_________________________1 2 3 4 5 6

Enthusiasm______________________1 2 3 4 5 6

Creativity_______________________1 2 3 4 5 6

Maturity________________________1 2 3 4 5 6

Positive Outlook__________________1 2 3 4 5 6

Helpfulness______________________1 2 3 4 5 6

Compliance w/ Directions and Policies__1 2 3 4 5 6

Please sign this form after completing and return to the address on the front.