Teacher/Employer Form

Teacher/Employer and General Reference Form

Camp Orchard Hill
Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Applicant's Name

First Name Last Name
How long have you known this person and in what capacity? (1 on 1 or group context)
This person has applied for the summer staff at Camp Orchard Hill. We are looking for individuals who have a strong Christian faith, enthusiasm, a desire to grow and a desire to serve.
All answers will be kept confidential. Please answer honestly.
Please rate the applicant in each of these areas. 1 will be lowest and 5 will be highest.

Teachable

	1	2	3	4	5

1 is Worst, 5 is Best

Prompt

	1	2	3	4	5

1 is Worst, 5 is Best

Follows Instruction

	1	2	3	4	5

1 is Worst, 5 is Best

Follow Through

	1	2	3	4	5

1 is Worst, 5 is Best

Selfish

	1	2	3	4	5

1 is Worst, 5 is Best

Emotionally Balanced

	1	2	3	4	5

1 is Worst, 5 is Best

Friendly

	1	2	3	4	5

1 is Worst, 5 is Best

Trustworthy

	1	2	3	4	5

1 is Worst, 5 is Best

Outgoing

	1	2	3	4	5

1 is Worst, 5 is Best

Gets along with others

	1	2	3	4	5

1 is Worst, 5 is Best

Leader of Peers

	1	2	3	4	5

1 is Worst, 5 is Best

Leader of Children

	1	2	3	4	5

1 is Worst, 5 is Best

Work with teens

	1	2	3	4	5

1 is Worst, 5 is Best

Temperament (angry)

	1	2	3	4	5

1 is Worst, 5 is Best

Tactful

	1	2	3	4	5

1 is Worst, 5 is Best

Intelligent

	1	2	3	4	5

1 is Worst, 5 is Best

Understands Christian faith

	1	2	3	4	5

1 is Worst, 5 is Best

Honest, Transparent

	1	2	3	4	5

1 is Worst, 5 is Best

Organized

	1	2	3	4	5

1 is Worst, 5 is Best

Flexible

	1	2	3	4	5

1 is Worst, 5 is Best

Please comment on applicants spiritual life
I recommend this applicant for your summer staff

Yes No
I expect the applicants work will be

Poor Average Good Superior
Signature

Clear
Should be Empty:

Teacher/Employer and General Reference Form