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Carolina Creek Reference Form
Your Information
Applicant Name
First Name
*
Last Name
*
Reference Name
First Name
*
Last Name
*
Email
Phone
Relationship Information
Applicant Name
First Name
*
Last Name
*
Time Known
Relationship
Questions
I would trust the applicant to oversee the well-being of my child in normal routine activities of daily living, including sleeping in a cabin with children overnight.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I would trust the applicant to be responsible for the well-being of my child in a role that involves risk, such as lifeguarding or facilitating a high ropes experience.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant has excellent social skills and self-awareness, and is able to relate to children, peers and adults with ease.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant would be great with campers, but I would be more comfortable with them in a support role that living in a cabin with campers.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant is hard-working, willing and able to work long days and accept a variety of tasks without complaint.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant is respectful of authority, considerate of others, and would comply with expectations for communal living.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant is of good moral character and seeks to align their life with their faith and values.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant will follow through on what they say they will do with integrity, conscientious of detail and with a high standard of excellence.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant would be a good candidate for a role where they were supervising other summer staff who are their age peers.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The applicant works best on a team where responsibility is shared rather than independent.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Please tell us anything specific you would like us to know about the applicant.