Leaders In Training Participant Character Reference

Thank-you for taking the time to complete this reference form. The applicant who sent you the link to this form is applying as a participant in our Leader In Training Program.

Pioneer Camp is a children's Christian summer camp and year round retreat centre. For more information about camp please go to: pioneercampontario.ca

Please first identifiy the person you are completing the reference for:

Applicant First Name *

Applicant Last Name *

Reference Information

Please take a moment to provide us with your information, and your relationship to the person applying.

Your First Name *

Your Last Name *

Phone Number *

Phone Type: *

Email Address *

What is your relationship with the applicant, in what capacity do you know them? *

How long have you known the applicant? *

Less than 1 year

1 to 3 years

4 to 8 years

More than 8 years

How often do you interact with the applicant? *

Multiple times per week

Every few weeks

Monthly

Few times a year

May we contact you if further information is required? *

Yes

No

Applicant Information

The LIT program at Pioneer Camp is an intense and demanding experience. Three weeks are spent in training, followed by two weeks of developing practical skills by working with children and staff in a camp setting. Please rate this employee in the following areas, and add any additional comments in the box provided. *

	Excellent	Above Average	Average	Below Average	Unknown
Ability to follow instructions	Excellent	Above Average	Average	Below Average	Unknown
Ability to work as part of a team	Excellent	Above Average	Average	Below Average	Unknown
Energy Level	Excellent	Above Average	Average	Below Average	Unknown
Honesty	Excellent	Above Average	Average	Below Average	Unknown
Judgement	Excellent	Above Average	Average	Below Average	Unknown
Leadership Ability	Excellent	Above Average	Average	Below Average	Unknown
Promptness	Excellent	Above Average	Average	Below Average	Unknown
Sense of Humour	Excellent	Above Average	Average	Below Average	Unknown
Communication Ability	Excellent	Above Average	Average	Below Average	Unknown
Self-Control	Excellent	Above Average	Average	Below Average	Unknown
Ability to receive and grow from criticism	Excellent	Above Average	Average	Below Average	Unknown
Flexibility	Excellent	Above Average	Average	Below Average	Unknown
Ability to work under stress	Excellent	Above Average	Average	Below Average	Unknown
Creativity	Excellent	Above Average	Average	Below Average	Unknown
Ability to influence peers positively	Excellent	Above Average	Average	Below Average	Unknown
Healthy respect for authority	Excellent	Above Average	Average	Below Average	Unknown
Capacity to engage new ideas	Excellent	Above Average	Average	Below Average	Unknown

Is there anything that, in your opinion, affects the suitability of the applicant for this program? *

What strengths would the applicant contribute to this program of young leaders? *

In your opinion, does this applicant demonstrate maturity and the potential to work effectively with children in a camp setting? *

Is there any additional information you would like us to know about the applicant?

Please rate your recommendation of the applicant: *

Please type your initials here indicating your completion and submission of this form: *

Date: * +