The Salvation Army

 
 Camp Homelani

Camp Staff Reference Form

This reference form is to be completed and sent directly to Camp Homelani.  Once you press the "Submit Recommendation" button, it will be sent directly to us.  We ask that you not be a relative of the applicant. 

What is the name of the Applicant that you are giving reference?

The above named applicant is apply for the a position at Camp Homelani.  Your confidential evaluation is solicited, and we invite you to give us your comments regarding the qualifications of the applicant or any other pertinent information you feel necessary.  Your prompt appraisal of the candidate will help ensure full consideration.  Mahalo.

1.

How long have you known the applicant?

 years
  In what capacity?
     
2. Please check the choice that best describes the applicant in the following areas:
 

Leadership Ability

Prefers to Follow  Good Ability
Makes some Effort to Lead Exceptional Ability
 

Emotional Temperament

Over-Responds Emotionally Relatively Stable
Tends to be Moody Balanced and Controlled
Sometimes Well Balanced Well Balanced
 

Personality

Shy and Withdrawn Friendly
Reserved Outgoing
Quiet Extrovert
 

Social Interaction

Avoided by Others Well Linked
Tolerated by Others Sought by Others
   
3. On a scale from one to four, please rate the applicant in the following areas
  Superior

One

 Above Average

Two

 Average

Three

 Deficient

Four
Honesty & Personal Integrity
Ability to Work With Others

Attitude Toward Authority
Attitude Toward Hard Work
Personal Appearance
Ability to Work With Children
Follows Directions
Communication Skills
Patience
Tact
Courtesy
Maturity

Initiative
Punctuality
Dependability
Sense of Humor
Ability to Adapt
Respect / Concern for Others
   
4. In the following four areas, select the best response that applies and comment:
 

Attitude

A reflection of the applicant's disposition toward work and authority.
 
Excellent
Average

Below Average
Poor
Comments
 
 

Adaptability

A reflection of the applicant's ability to adjust to meet the challenge of new conditions, duties, or responsibilities.
  Excellent Average Below Average Poor Comments
 
 

Dependability

A reflection of the applicant's reliance and trustworthiness in completing tasks, duties, and responsibilities.
  Excellent Average Below Average Poor Comments
 
 

Judgment

A reflection of the applicant's judgment concerning overall job duties, co-workers, company policies and procedures.
  Excellent Average Below Average Poor Comments
 
 
5.

What are the persons' strong points?
     
6.

Are there any areas requiring improvement?
     
7.

Noteworthy accomplishments or qualities?
     
8. Would you place your child under the direct supervision of this person?  Yes No
   
9. Do you recommend this applicant for a position on Homelani's summer ministry team?
Recommend Do Not Recommend Recommend with Reservation

 

Today's Date (mm/dd/yyyy):
 
Name:
   
Your Position or Title:

 

Phone: 

 

Email:
  

Copyright © 2008 Camp Homelani.  
 All rights reserved.
Revised: 02/28//08