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
Worst						Best

Prompt

	1	2	3	4	5
Worst						Best

Follows Instruction

	1	2	3	4	5
Worst						Best

Follow Through

	1	2	3	4	5
Worst						Best

Selfish

	1	2	3	4	5
Worst						Best

Emotionally Balanced

	1	2	3	4	5
Worst						Best

Friendly

	1	2	3	4	5
Worst						Best

Trustworthy

	1	2	3	4	5
Worst						Best

Outgoing

	1	2	3	4	5
Worst						Best

Gets along with others

	1	2	3	4	5
Worst						Best

Leader of Peers

	1	2	3	4	5
Worst						Best

Leader of Children

	1	2	3	4	5
Worst						Best

Work with teens

	1	2	3	4	5
Worst						Best

Temperament (angry)

	1	2	3	4	5
Worst						Best

Tactful

	1	2	3	4	5
Worst						Best

Intelligent

	1	2	3	4	5
Worst						Best

Understands Christian faith

	1	2	3	4	5
Worst						Best

Honest, Transparent

	1	2	3	4	5
Worst						Best

Organized

	1	2	3	4	5
Worst						Best

Flexible

	1	2	3	4	5
Worst						Best

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Teacher/Employer and General Reference Form