The person named above has applied for a position as a counselor in our all girls’ summer camp. Your assessment and evaluation of this person will be of great help in selecting our staff. It is vital for leaders of girls to be of high ideals, have integrity, as well as get along well with others in the intimate life of camp, and demonstrate a willingness to put the camper in front of his or her own needs. A counselor’s summer involves living and working with children between the ages of 6 to 15 for seven weeks. The counselors will have to instruct in the activity at which they consider themselves most proficient. Matoaka staff are with the girls throughout the day, and then sleep in the same cabin with a group of girls at night. Because living with girls can be exhausting, and because counselors live in close proximity to the campers, the experience is very demanding. We would appreciate your providing confidential information about the applicant. We hope you will be truthful, candid and objective so that we may avoid mistakes that could result in a serious problem for us and possibly termination for the employee. Thank you for your response and assistance.
How long have you know the applicant? (Required) In what capacity? Employer and Supervisory Teacher Co-Worker Other... If "Other...":
Name of organization/school/camp etc. in which you were associated with the applicant:
What, in brief, were the applicant’s duties?
Would you hire / re-hire this person? Yes No Not Applicable If no, for what reason? Would you trust this person with the care of your child? Yes No Please explain if the answer is no:
What are this applicant's personal strengths or weaknesses about which we should be aware of?
Please give your opinion on the applicant’s skills in the activities which you believe he/she is best:
To your knowledge, has the applicant suffered any significant physical or nervous conditions? No Yes If "Yes..." describe:
To the best of your knowledge: Has the applicant ever had any criminal convictions for child abuse or sexual abuse offenses? No Yes Has the applicant ever had any criminal convictions for a felony or misdemeanor? No Yes
