SA Shield

The Salvation Army

Camp Homelani

Camp Staff Pastoral Reference Form

Thank you for taking the time to complete this reference form for the potential staff member listed below. Once you press the "Submit" button at the bottom, this reference form will be sent directly to us. 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. Mahalo!
Please enter the name of the applicant for whom you are giving reference:
How long have you know the applicant?
In what capacity have you known the applicant (i.e., Corps Officer, pastor, youth pastor, etc.)?
Is the applicant a professing Christian?


If yes, about how long? years
Does the applicant appear to be growing in his/her Christian walk?


If yes, please list some examples:
Does the applicant take an active interest in Christian service?


If yes, please list some examples:
Please describe the applicant's Christian testimony among peers and community:
What are some strong points of this applicant?
Does this applicant have any traits that you feel might reduce his/her effectiveness in the camping ministry?
Would you place your child under the direct supervision of this applicant?
Please give us any noteworthy accomplishments or qualities:
Given that we all need to improve in some way, what are some areas that require improvement?

Please check the best choice that describes the applicant in the following areas:

Leadership Ability





Emotional Temperament







Personality







Social Interaction





On a scale from one to four, please rate the applicant in the following areas:

Honesty and 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
Judgment & Maturity
Initiative
Punctuality
Dependability
Sense of humor
Ability to adapt
Respect/concern for others

In the following four areas, please comment about the applicant:

Do you recommend this applicant for a position on Camp Homelani's summer ministry team?




Today's date (mm/dd/yyyy)
What is your name?
What is your title?
What is your phone number?

Please enter your email address:


The Salvation Army
Camp Homelani
68-263 Olohio Street
Waialua, HI 96791
(808) 637-4131
Fax (808) 637-7170

We used www.tectite.com for help with this form -- they're awesome!
Revised 11/22/2008