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Circle Square Ranch Grand River
Spiritual Reference Form
Thank you for taking the time to complete this reference form. The applicant who sent you the link to this form is applying for a summer position at Circle Square Ranch Grand River. Circle Square Ranch Grand River is a Christian childrens' summer camp and year round retreat centre. For more information about camp please go to: csranchgrandriver.ca
Please first identifiy the person you are completing the reference for:
First Name of Applicant
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Last Name of Applicant
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Reference Information
Your First Name
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Your Last Name
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Street Address
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Address Line 2
City
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State/Province/Region
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Zip/Postal Code
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Phone Number
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Type of Phone:
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Work Phone
Home Phone
Cell Phone
Country
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Email Address
*
Occupation
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What is your relationship with the applicant? In what capacity do you know them?
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How long have you known the applicant?
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Less than 6 months
6 months to 1 year
1 to 2 years
3 to 5 years
6 to 10 years
More than 10 years
Other
Other
How well do you know the applicant?
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Not very well
Somewhat
Well
Very well
Other
Other
May we contact you if further information is required?
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Yes
No
Other
Other
Applicant Information
Please complete the following information as accurately as possible. The assessment of the applicant helps us as we place summer volunteers in camp positions.
Please rate the applicant's ability/involvement in each of the following areas:
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Unknown
Below Average
Average
Above Average
Excellent
Ability to follow instructions
Unknown
Below Average
Average
Above Average
Excellent
Ability to work as part of a team
Unknown
Below Average
Average
Above Average
Excellent
Active involvement in school or community
Unknown
Below Average
Average
Above Average
Excellent
Active involvement in church or youth group
Unknown
Below Average
Average
Above Average
Excellent
Capacity to work with young people and children
Unknown
Below Average
Average
Above Average
Excellent
Consistent desire to learn and grow
Unknown
Below Average
Average
Above Average
Excellent
Demonstrated knowledge of the Bible
Unknown
Below Average
Average
Above Average
Excellent
Consistent growth in Christian life and faith
Unknown
Below Average
Average
Above Average
Excellent
Determination to honour commitment
Unknown
Below Average
Average
Above Average
Excellent
Energy level
Unknown
Below Average
Average
Above Average
Excellent
Friendliness
Unknown
Below Average
Average
Above Average
Excellent
Honesty
Unknown
Below Average
Average
Above Average
Excellent
Initiative
Unknown
Below Average
Average
Above Average
Excellent
Maturity of judgement
Unknown
Below Average
Average
Above Average
Excellent
Leadership ability
Unknown
Below Average
Average
Above Average
Excellent
Promptness
Unknown
Below Average
Average
Above Average
Excellent
Sense of humour
Unknown
Below Average
Average
Above Average
Excellent
Creativity
Unknown
Below Average
Average
Above Average
Excellent
Communication ability
Unknown
Below Average
Average
Above Average
Excellent
Self control
Unknown
Below Average
Average
Above Average
Excellent
Teachability
Unknown
Below Average
Average
Above Average
Excellent
Ability to take criticism
Unknown
Below Average
Average
Above Average
Excellent
Ability to work under stress
Unknown
Below Average
Average
Above Average
Excellent
Flexibility
Unknown
Below Average
Average
Above Average
Excellent
Emotional stability
Unknown
Below Average
Average
Above Average
Excellent
In your opinion, does this applicant demonstrate maturity and the potential to work effectively with children in a camp setting?
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Please comment on your impression of this applicant's relationship with Christ.
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Is there anything else that, in your opinion, affects the suitability of the applicant for this volunteer position?
Is there any additional information you would like us to know about the applicant?
Rate your recommendation of the applicant
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Highly recommend
Recommend
Recommend with reservation
Cannot recommend
Other:
Other:
Please type your initials here indicating your completion and submission of this form.
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Date:
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