Reference Form

Applicant's Name*

First Last

Applying for the position of:*

The above person has applied for a position with Camp Shalom and has listed you as a Reference. Since we will be serving hundreds of kids of all ages this summer, it is essential that we have strong, committed people working with us. Please take a few minutes to answer the following questions to ensure this candidate receives consideration. Your input is greatly appreciated! Thank you.

Please check the box underneath the value that best describes the applicant.

How reliable is the applicant in completing projects?*

Comments

How mature do you consider the applicant to be?*

Comments

Does the applicant work well with others?*

Comments

How would you assess the applicant's Christian faith?*

Comments

Does the applicant work well with children?*

Comments

How would you describe the applicant's personality?*

Comments

Is the applicant the type of person whom you would trust with your own children?*

Comments

What is your relationship with the applicant?*

Additional Comments

If you would like to add any further comments that you feel might be helpful in our decision making process please include them here. If you have anything you would like to send us please mail to:

Camp Shalom Office
960 E 53rd Street
Davenport, IA 52807

Reference Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

By checking this box I agree that the information I have provided is accurate and truthful.*

I agree

Reference Form Submission

Reference Information

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