Confidential Reference

*Denotes Required Field

The following applicant is applying to work / volunteer at Gardom Lake Bible Camp this summer. We require staff that are growing in spiritual and emotional maturity, are responsible, loving and dedicated. We would appreciate a confidential statement from you concerning the applicant’s ability to undertake Christian ministry and their potential as a Christian leader. If you would like to talk to me about this potential applicant, feel free to call me at (250) 838-6645. Thank you for taking time to fill out this form. It is greatly appreciated.

Rikk Kieft (Executive Director)

* Name of Applicant

* Reference’s Name

Reference’s Occupation

* Phone Number ( ) -

* Email

* How long have you known the applicant and in what capacity?

* Does the applicant have a personal relationship with Jesus Christ?

* Describe what place you feel the applicant is in his/her spiritual life?

* Describe the applicant’s attitude and heart for serving and ministry.

* Describe any significant problems the applicant is experiencing or concerns you may have about their beliefs, attitudes or morals.

* What special contribution(s) do you feel the applicant would make to a camping program?

* Describe the applicant’s attitude towards authority.

* Describe the applicant’s ability to control anger/frustration.

* To your knowledge has the applicant been convicted of a criminal offence?

Would you want your child placed under direct charge and influence of him/her for a week?

Does the applicant posses leadership ability?

makes no effort to lead

lacks the ability

some promise

exhibits an ability to lead

Describe the applicant’s emotional temperament.

over-responds emotionally

tends to be moody

well balanced

balanced and controlled in most circumstances

How is the applicant perceived by others?

tolerated

liked

avoided

well liked

sought by others

Describe the applicant’s sense of humour?

extreme and or inappropriate

usually appropriate

well-balanced

has no sense of humour

Describe the applicant’s personality.

shy and withdrawn

reserved

outgoing

extrovert

Is the applicant prompt?

always late

usually late

usually prompt

always prompt

How does the applicant work with others?

causes friction

works better alone

co-operative

very effective working with others

Describe the applicant’s ability to perform, execute and follow through on plans.

needs constant supervision

begins but does not finish

meets average expectations

does over and above assigned

superior ability to follow through

Do you recommend this applicant as a member to our staff?

Please feel free to add any additional comments below.

Cancel