EmailMe Form - The Pines Staff Reference Form

The Pines Staff Reference Form

Thank you for helping us to build the very best staff to build the Kingdom of God in the Piney Woods of Texas! We appreciate your honest responses, positive and negative; please know that it will be kept confidential. Our staff is responsible for the well being, spiritual development and fun over 2000 young people during the summer months in different capacities, and we need the very best of the best. In thanksgiving we will be praying for you, please put any intentions in the “Prayer requests” section. God bless!

Applicant's Name *
Your Name *
Phone *
### - ### - ####
Email *
What is your relationship with this applicant and how long have you known them? *
How would you assess this person's ability to perform under stressful conditions (i.e. long hours, elevated noise levels, outdoor setting, etc.)? *
What one thing about this person's experience, skills, or work style would you change? *
What is it about this person's experience, skills, or work style that impresses you most? *
Does this person strike you as someone who would be a good combination of fun and
responsibility, in order to work in a camp with children all summer? *
Are you aware of any reasons this person should NOT work with youth ages 7-17? Please explain: *
Would you recommend to a friend, the applicant being their child’s counselor for a week at
camp? *
Does the applicant ever exhibit signs of chemical or any other dependency? If yes, please explain:
Maturity *
Relationship with peers *
Relationship with children *
Lives out their faith every day *
Relationship with supervisor *
Communication skills *
Competence in conflict resolution *
Punctuality and attendance *
Relationship with Catholic Church *
Teamwork *
Ability to accept feedback *
Humility *
Ability to cope with stress *
Integrity *
Former employee? *
Dates of Employment
Type of Employment
Position Held
Reason for leaving
Would you rehire this person?
Do you have any prayer requests?
Additional comments

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