Circle Square Ranch Grand River

Family and Friend 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 *

Last Name of Applicant *

Reference Information

Your First Name *

Your Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Type of Phone *

Country *

Email Address *

Occupation *

What is your relationship with the applicant? In what capacity do you know them? *

How long have you known the applicant? *

How well do you know the applicant? *

May we contact you if further information is required? *

Yes

No

Applicant Informtion

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: *

	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
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

Has the applicant had any kind of difficulty or problem with his/her family relationship that would make you question his/her effectiveness for this volunteer position? *

Yes

No

N/A

If yes, please give details.

Does the applicant have any kind of personal/social exceptionalities that would limit his/her effectiveness in this volunteer position? *

Yes

No

N/A

If yes, please give details.

Please comment on your impression of this applicant's relationship with Christ.

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?

Please rate your recommendation of the applicant: *

Please type your initials here indicating your completion and submission of this form: *

Date: *