Support Staff Volunteer 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 *

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

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: *

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

Applicant Characteristics

Rate this employee in the following areas. *

	Excellent	Above Average	Average	Below Average	Uknown
Ability to follow instructions	Excellent	Above Average	Average	Below Average	Uknown
Ability to work as part of a team	Excellent	Above Average	Average	Below Average	Uknown
Active involvement in church	Excellent	Above Average	Average	Below Average	Uknown
Capacity to work with young people and children	Excellent	Above Average	Average	Below Average	Uknown
Consistent growth in Christian life and faith	Excellent	Above Average	Average	Below Average	Uknown
Determination to honour commitment	Excellent	Above Average	Average	Below Average	Uknown
Energy Level	Excellent	Above Average	Average	Below Average	Uknown
Friendliness	Excellent	Above Average	Average	Below Average	Uknown
Judgement	Excellent	Above Average	Average	Below Average	Uknown
Promptness	Excellent	Above Average	Average	Below Average	Uknown
Teachability	Excellent	Above Average	Average	Below Average	Uknown

Do you have any additional comments of which we should be aware of when considering this applicant for the volunteer role at Pioneer Camp Ontario?

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

Date: * +

InterVarsity Pioneer Camp Ontario

942 Clearwater Lake Rd.

Port Sydney, ON

P0B 1L0

Phone: 1-705-385-2370

Email: info@pioneercamp.ca