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Counselor Name
*
Counselor Last Name
*
Your Name
*
Your Last Name
*
* YOU MUST BE A TEACHER, BOSS OR NON-FAMILY MEMBER TO PROVIDE A REFERENCE FOR THIS APPLICANT
Your Phone Number
*
Email Address
*
How long and under what circumstances have your known the applicant?
*
Please select the number that best reflects the applicant's abilities. 5 is superior; 1 is low.
Communication skills
*
1
2
3
4
5
Leadership abilities
*
1
2
3
4
5
Reliability/Dependability
*
1
2
3
4
5
Work Ethic
*
1
2
3
4
5
Self Initiative
*
1
2
3
4
5
Cooperating with others
*
1
2
3
4
5
Sensitivity toward people with disabilities
*
1
2
3
4
5
Can you offer any other further information that would be beneficial in making this decision?
*
Do you recommend that this applicant serve as a volunteer at Camp Sunshine?
*
Yes
No
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