Gold Arrow Camp -California Summer Camps | Southern Summer Camps | Huntington Lake | Summer Camp ActivityGold Arrow Camp

Please complete this form neatly to help us determine if this prospective staff member will be a positive role model for young people. Please be further advised that all information will be kept confidential.

Applicant's Name:

How long and in what capacity have you known the applicant?

If you employed the applicant, would you rehire?

Yes
No

If no, for what reason?

Would you leave your child under the care of this applicant?

Yes
No

Please explain if the answer is no.

Do you believe the applicant has been or uses drugs?

Yes
No

Do you believe the applicant uses alcohol?

Yes
No

Responsibility

Adaptability/Flexibility

Communication Skills

Creativity

Enthusiasm/Energy

Independence

Initiative

Integrity/Honesty

Judgment/Common Sense

Leadership Skills

Maturity

Professional Appearance

Self-Confidence

Work Ethic

Please comment on your above responses:

Reference's Name:

Position:

Company:

Relationship to Applicant:

Daytime Telephone Number:

Email Address: