Camp Sisol Reference Form
Name of Applicant: _______________________________
Position Applied For: _____________________________
Company: _____________________________________
Name of Reference: ____________________________
Address/Phone: ______________________________
Position: ____________________________________
To those asked to submit references: We are interested in your candid assessment of the applicant's abilities. References
are integral to our hiring process and we will defer any action on this application until hearing from you. Your thoughts are
appreciated.
For how long and in what capacity have you known the applicant? ____________________________________________
Please circle the appropriate response for each category, which, in your judgment, most accurately describes the applicant.
Maturity and
Judgement
Dependability
And
Reliability
Emotional
Stability
Initiative,
Originality
Personal
Presentation
Team Member
Communication
Skills
Character and
Integrity
Leadership
Capabilities
Below Expectations
Meets Expectations
Above Expectations
Dependent, unable to
reach decisions or
cope with frustrations.
Below Expectations
Normal good judgement,
usually copes with
frustrations, clear thinker.
Meets Expectations
Exceptional judgement
copes well with frustrations.
Doubtful reliability,
considerable checking
on work required.
Below Expectations
Consistently reliable,
makes only minor
mistakes.
Meets Expectations
Exceptional reliability, very
accurate work.
Easily disturbed,
insecure.
Usually stable and poised,
is well adjusted, selfconfident.
Meets Expectations
Very stable, well balanced,
poised.
Needs prodding and is
dependent on others,
wastes time.
Below Expectations
Does assigned work on
own accord, needs little
help.
Meets Expectations
A self-starter, independent
and imaginative.
Careless,
discourteous.
Below Expectations
Well mannered,
courteous.
Meets Expectations
Impressive, cordial to all,
very courteous.
Above Expectations
Does not work well
with others, resents
criticisms.
Below Expectations
Works well with others
accepts corrections, tries
to improve.
Meets Expectations
Always willing to be a team
member, invites criticisms
and improvements.
Above Expectations
Deficient in ability to
express themselves.
Below Expectations
Able to express
themselves.
Meets Expectations
Expresses themselves clearly
and effectively.
Above Expectations
Compromises ethics
for personal gain,
questionable honesty.
Below Expectations
No serious flaw in
integrity or ethics,
dependable.
Meets Expectations
Absolutely trustworthy,
observes high quality ethics.
Unable to lead,
ineffectual.
Occasionally a leader,
confident.
Frequently a leader, often
outstanding, inspiring.
Below Expectations
Above Expectations
Above Expectations
Above Expectations
Above Expectations
Above Expectations
Have Not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
Have not
Observed
Comments
1. What were the applicant’s key responsibilities at your company/program?
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
2. Have you seen this person interact with children? Please describe:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
3. This person is applying for a job as a camp staff member. Is there any
reason that he or she should not be hired for this position? Why or why
not? __________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
4. Please add any additional comments you feel we should know about the
applicant: ______________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Signature: ______________________
Date: ______________
Please return this completed reference to:
Camp Sisol 1200 Edgewood Avenue Rochester, NY 14618
Or Fax to: 585-625-0820
THANK YOU!