Employment Character Reference Form

Name of person applying for a position at Marmon Valley Ministries?	Staff Applicant
Name of Reference Completing this form	Your Name
Your Title
Your E-mail
Phone
Organization
Relationship to the applicant	Friend Family Friend Employer Coworker Teacher Pastor Youth Pastor Other
How long have you known the applicant?	0-6 months 7-11 months 1-3 years 4 years or more
Does the applicant demonstrate a lifestyle committed to spiritual growth and moral integrity?	Never At times Usually Almost Always Other    if you marked other, please explain
Does the applicant work respectfully and willingly under authority?	Never At times Usually Almost Always Other if you marked other, please explain
Would you place your child under the direct charge and influence of this applicant?	Yes No Other if you marked other, please explain
What three adjectives best describe the applicant and why?
Assess the applicant's readiness and ability to work with children and peers in an intense camp experience
Please rate the applicant on the following characteristic: GOOD JUDGMENT	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: MATURITY	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: TEAMWORK	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: WORK ETHIC	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: EMOTIONAL BALANCE	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: FRIENDLINESS	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: INTEGRITY	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: OUTGOING	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: FLEXIBILITY	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: LEADERSHIP SKILLS	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: ATTITUDE/TEMPER	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: TACT	Excellent Good Fair Poor No knowledge
Please rate the applicant on the following characteristic: TEACHABILITY/HUMILITY	Excellent Good Fair Poor No knowledge
Would you heartily recommend this applicant for a position at a Christian camp	Yes Yes, with reservations No Other
Additional comments
Affirmation of Accuracy Can you affirm that you have personally completed this reference form and that it correctly reflects your understanding of the applicant.	Yes No