Volunteer and Staff Reference Form

Thank-you for taking the time to complete this reference form. The applicant who sent you the link to this form is applying for a summer position at Pioneer Camp. 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 a week

Every few weeks

Monthly

Few times a year

May we contact you if further information is required? *

Yes

No

Applicant Information

Please complete the following information as accurately as possible. The assesment of the applicant helps us as we place summer volunteers in camp positions.

What personal values does the applicant demonstrate to be most important to him or her? Please comment: *

Do you have any concerns about how the applicant would work in a camp setting with children, youth and young adults? Please comment. *

InterVarsity Pioneer Camp Ontario is a Christian camp. Do you feel that the applicant has a personal commitment to following Jesus Christ? Please Comment *

We interview each applicant in our hiring process. Is there a question you would suggest we ask this person? *

Applicant Characteristics

Rate this employee in the following areas. *

	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
Active involvement in church or youth group	Excellent	Above Average	Average	Below Average	Unknown
Demonstrated knowledge of the Bible	Excellent	Above Average	Average	Below Average	Unknown
Consistent growth in Christian life and faith	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 take 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

Please rate your recommendation of the applicant: *

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

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

Date: * +