Untitled Document

REFERENCE FORM

Name of Applicant: _____________________________________________

Name of Person making this recommendation: _________________________

Position: ____________________________ Phone: ___________________

How long have you known this applicant? ___________________________

In what capacity? _______________________________________________

Please rate the applicant on the following:

Outstanding Good Average Poor

Emotional Maturity

Relationship with Peers

Relationship with Authority Figures

Work Performance

Honesty / Integrity

Creativity

Responsibility

Are you aware of any reason this person should not work with and/or live in a cabin/tent with young people (generally grades K-12)? ___ If so, please explain to some degree on the back of this page.

Would you hire this person to work with youth in an ELCA Outdoor Ministry setting? ____

Please comment on as many of the following areas as possible. Feel free to add any thoughts or concerns that you might have regarding this applicant's interest in working with youth.

How well does this person work with others?

Tell us a bit about the personality of this applicant.

How does the applicant express his/her faith?

What assets would this person bring to a church camp?

What short-comings might affect this person's responsibilities?

Thank you for your contribution of time to the Outdoor Ministry. Please forward this form in the envelope provided or to this address by March 1:

SHETEK LUTHERAN MINISTRIES 14 Keeley Island Drive Slayton, MN 56172

Phone/Fax: 507/763-3567 E-Mail: slbc@frontiernet.net