Staff Reference Form December 1, 2016 by Micah Rude Please fill out the following form. You have the option to save and continue if needed. Staff Reference Form You were given this form by an applicant for a Summer Staff Position at Bluewater Covenant Bible Camp. The personal information requested below will supplement that provided by a personal interview. It is of great importance to us to obtain objective and valid statements from persons who have some personal knowledge of the applicant’s ability and characteristics. The early return of this form will be appreciated, as it will expedite the processing of this candidate’s application. Any information which you may give us will be regarded as strictly confidential. Applicant's Name*Position Applying For:*How long have you known the applicant and in what capacity?*Is the applicant a Christian?*Has the applicant ever shared his/her personal commitment with you?*Does the applicant appear to be growing in his/her Christian experience? Please explain:*Does the applicant take an active interest in Christian service? Please explain:*How have you seen the applicant respond to understanding the Scriptures, witnessing, and prayer life?*Please indicate which statement best describes the applicant in relation to each characteristic listed below.Able to follow instructions*Most of the TimeSome of the TimeNot OftenHardly EverLoyal*Most of the TimeSome of the TimeNot OftenHardly EverOutgoing*Most of the TimeSome of the TimeNot OftenHardly EverA capable leader*Most of the TimeSome of the TimeNot OftenHardly EverConsistent in Christian testimony*Most of the TimeSome of the TimeNot OftenHardly EverDisciplined in personal habits*Most of the TimeSome of the TimeNot OftenHardly EverEnthusiastic*Most of the TimeSome of the TimeNot OftenHardly EverWell organized*Most of the TimeSome of the TimeNot OftenHardly EverEmotionally stable*Most of the TimeSome of the TimeNot OftenHardly EverAble to adjust to different situations*Most of the TimeSome of the TimeNot OftenHardly EverAble to cope with others' problems*Most of the TimeSome of the TimeNot OftenHardly EverAble to work without close supervision*Most of the TimeSome of the TimeNot OftenHardly EverAble to work without close supervision*Most of the TimeSome of the TimeNot OftenHardly EverAble to work in a team situation*Most of the TimeSome of the TimeNot OftenHardly EverEasily offended*Most of the TimeSome of the TimeNot OftenHardly EverInclined to criticize others*Most of the TimeSome of the TimeNot OftenHardly EverIs needy or draining on others*Most of the TimeSome of the TimeNot OftenHardly EverMoody*Most of the TimeSome of the TimeNot OftenHardly EverPlease grade the applicant on the following characteristics and traits.Tact*SuperiorAbove AverageAverageWeakPhysical Condition*SuperiorAbove AverageAverageWeakDependability*SuperiorAbove AverageAverageWeakJudgment*SuperiorAbove AverageAverageWeakIntegrity*SuperiorAbove AverageAverageWeakSense*SuperiorAbove AverageAverageWeakInitiative*SuperiorAbove AverageAverageWeakCourtesy*SuperiorAbove AverageAverageWeakInitial impression*SuperiorAbove AverageAverageWeakPunctuality*SuperiorAbove AverageAverageWeakWillingness*SuperiorAbove AverageAverageWeakAttitude toward authority*SuperiorAbove AverageAverageWeakWork ethic*SuperiorAbove AverageAverageWeakPublic speaking ability*SuperiorAbove AverageAverageWeakAbility to make friends*SuperiorAbove AverageAverageWeakThe applicant will be working with youth. Would you consider the applicant qualified to counsel your child/teenager?*YesNoPlease check your choice of recommendation*I Strongly recommendI RecommendI Recommend with some reservationI Do not recommendPlease give your opinion on this applicant's overall suitability to serve in a ministry such as Bluewater Covenant Bible Camp:*Your informationName* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Position/OrganizationSignatureI acknowledge that the above information is correct to the best of my knowledge and that only I, the below signed person, have filled out this form. Your typed name will work as your signature.*