Teacher's Reference Form - Christian Camps & Conferences

Date

Applicant's Name*

Gender*

Male
Female

This is to help us send the reference to the proper Staff member for evaluation.

Has applied for a position in:*

WILD Program in Maine
LDP in New Hampshire
SALT in New Hampshire
I'm sorry but I can't recall specific program name.

Leadership Development Programs offered at our camps are an intensive 8 or 16 week leadership and discipleship training experience. Each participant will live in close quarters with other peers and counselors. The program can be a life-changing experience for all involved, and our hope in the selection process is to put together a group of young men and women who will be willing to learn from their counselors and from each other, as teachability is of the utmost importance in this program. The ideal participant is mature, self-aware, and a willing participant in a variety of activities. The input on this reference form will be most helpful to us when the form is filled out completely and honestly by someone who knows the applicant well.

To be completed by the person filling out this reference:

Your Name*

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone*

How long have you know the applicant?*

In what capacity have you known the applicant?*

How well would you say you know the applicant?*

What level of communication have you had within the past 6 months?*

None
Surface
Personal
Very Personal

Teacher’s Reference Form

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Summary