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BY HELPING CAMPERS...

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Pastoral Reference Form

DEAR CHRISTIAN WORKER: The applicant below has applied for a position at Camp AREV. Your confidential evaluation is solicited and we invite you to include a personal note regarding the qualifications of the applicant or anything you believe would be of interest to us. By directing you to this form, the applicant has given his/her authorization for you to release this information. Please fill out this form in one sitting (there is no save feature) and submit it to us as soon as possible.

Applicant Name

Your Name

Phone Number

Church You Serve

Church_If other

Position applicant Applying for

How Long Have You Known This Person And In What Capacity?

Applicants Spiritual Capacity

Please comment on the applicant's spiritual life:

What specific reason would you give for accepting or denying the applicant?

Would You Completely Trust This Individual to Guide and Care For Your Child in a One-On-One or Group Setting?

Explain if hesitant

To your best knowledge: Has this applicant ever been expelled or suspended from school or employment or charged with, or convicted of any offense or violation of any statute or law?

Applicants Personality Traits

Please rate the applicant by selecting the appropriate number from each of the following categories.

Teachable

Promptness

Follows Instruction

Capacity to work with children

Capacity to work with youth

Emotionally Balanced

Outgoing

Trustworthy

Sense of humor

Temper Control

Gets along with others

Additional Comments

If you wish to add a personal note about the applicant or any other information, please use this space:

Confirmation

I hereby affirm and acknowledge that the answers given by me to the foregoing questions are complete and true to the best of my knowledge and belief.

I, the undersigned, agree to the terms above.

Almost done. Where should we send the confirmation?

Name

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