|
NOTE:
Confidential Reference Form
Return Directly to Camp
Heart staff members must
be able to observe, participate with & safely supervise all camp
activities, including rough terrain rescue. Female staff members
must line in cabins with girls 6-16. Staff members must be able to
communicate well for instruction, safety, and parent reports. |
Heart O' the Hills Camp
for Girls
C. Jane
Ragsdale, director
2430 Highway 39 Hunt,
TX 78024-3410
830-238-4650 Fax 830-238-4067
www.hohcamp.com, info@hohcamp.com
|
|
CONFIDENTIAL REFERENCE FORM
____________________________
has made application to Heart O' the Hills for a position as a
staff member / counselor.
We would like your confidential appraisal of the applicant. Please mail
directly to Jane Ragsdale, Heart O' the Hills Camp, 2430 Highway 39, Hunt,
TX 78024-3410.
|
Please rank
attributes below: |
Superior
(Best ever seen or ever hope to see) |
Excellent |
Good |
Satisfactory |
Not
Satisfactory |
No Basis
for Judgment |
| First Impression |
|
|
|
|
|
|
| Personal Appearance |
|
|
|
|
|
|
| Likeability |
|
|
|
|
|
|
| Sense of humor |
|
|
|
|
|
|
| Sense of self-worth |
|
|
|
|
|
|
| Self-control |
|
|
|
|
|
|
| Attention to detail |
|
|
|
|
|
|
| Flexibility |
|
|
|
|
|
|
| Ability to teach |
|
|
|
|
|
|
| Ability to plan & organize |
|
|
|
|
|
|
| Talent working with
children |
|
|
|
|
|
|
| Ability to cooperate |
|
|
|
|
|
|
| Willingness to serve |
|
|
|
|
|
|
How long have you
known the applicant _________________In what relationship?________________________
When was the last time you had personal contact with her?___________________________________________
Is there any reason to check additionally on this applicant? __________________________________________
Does applicant have physical/mental problems/disabilities we should be
aware of? _______________________
Should we check additionally on this applicant?
____________________________________________________
Does applicant have any physical/ mental problems or disabilities we
should know about? _________________
Would the applicant be a good leader with girls?____________________________________________________
If you had a camp-age daughter, would you be pleased to have applicant as
her counselor?_________________
Remarks:____________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Signed: __________________________________ Print
Name:________________________________________
Official Position: _____________________Telephone : (___)_____________
email:________________________
Mailing Address: ______________________________City:__________________ State: _____
Zip: __________
If you would rather give an evaluation over the phone, please check here
and we will call you. _______
Would you like information on
Heart O' the Hills for Girls? ____ Girl(s) Name(s)
& Age(s)__________________________
Camp Stewart for Boys? ____
Boy(s)
Name(s) & Age(s)_____________________________
|