Name of Applicant      *required field

How long have you known the applicant?     In what capacity?

Rate the applicant in the following areas:                  

Please Check

Appropriate Box

Below Average

Average

Above Average

Outstanding

Unknown

Additional Comments

Dependability

 

Promptness

 

Maturity

 

Work Ethic

 

Cooperation

 

Leadership

 

Enthusiasm

 

Responsibility

 

Patience

 

Flexibility

 

Communication

 

Loyalty

 

Would you consider the applicant a good role model for children?  yes    no

    Please Explain:

    

Is the applicant a team player and can she/he follow rules?  yes    no

    Please Explain:

    

What words or phrases immediately come to mind when describing the applicant?

    

What weaknesses or limitations have you observed in the applicant?

    

My overall recommendation:

                    Enthusiastically recommend

                    Recommend

                    Recommend with reservations

                    Do not recommend

 

 

Your Full Name   *required field    Date
Position                             Phone *required field
Email Address   *required field    

 

Thank you for taking the time to complete this reference. If you prefer to send this information to the camp office via mail or fax, please print and send it to the address or number below:

 

    Banner Day Camp

    1225 Riverwoods Road

    Lake Forest, IL 60045

    p. 847.295.4900

    f. 847.295.0995

copyright 2008 Banner Day Camp. All rights reserved.