Staff Reference Form

The applicant who requested a reference from you has applied to volunteer as summer staff with Solid Rock Camp & Retreat Center. The applicant could be doing any of the following: counseling children and youth, working in maintenance, leading special activities, and all will be operating as part of a team.

Please keep these roles in mind as you fill out this form.

Your Name*

First NameLast Name

Email*

example@example.com

Name of Applicant*

First NameLast Name

Relationship to Applicant*

How many years have you known the applicant?*

To your knowledge, has the applicant ever been convicted of a criminal offense?*

YesNo

How would you describe the applicant's character in terms of working with children, working as a part of a team, and in personal life?*

How comfortable would you be with the applicant supervising a child of your own? Please explain.*

What is one challenge you would give the applicant for his/her person or professional growth?*

The state of Colorado requires residential children's camps to verify work history with the applicant's references. If you are familiar with any employers or volunteer agencies with which the applicant has worked, please make note of them here.

Signature*