2008 Online Staff Reference Form

Please be advised that you have been given permission, by the applicant who forwarded you this address, to evaluate important personality, character and employee traits.  Before receiving this address, all prospective counselors must submit permission for this background check.

Also of note, this reference is and will remain confidential.  Only the camp director and program director ever get the opportunity to review it.  Applicants do not receive copies, nor are they able to review them at a later date, should they be hired.

(If you'd like, you may also complete this reference form, print it, and fax it to Blake Smith at 830/238-4888.)

A printable PDF version is also available by clicking here.

IMPORTANT
It is important that you "Tab" between fields.
Do not hit "Enter" until you have completed your application in its entirety - as this will automatically submit your information. Should you do so accidentally, use your server's "Back" button to go back and complete your application and send the completed version.

Camp La Junta

Confidential Request for Reference

You have been asked to complete a reference/recommendation form for a potential Camp La Junta summer employee.  We desire people with enthusiasm, energy initiative,   maturity, sensitivity and a superior ability to get along with both children and adults.  Camp La Junta is a summer youth camp in the Texas Hill Country.  All staff members are counselors counted upon to supervise cabins of 8-12 youth as well as to instruct an activity 5 hours each day.  Employees work long days, from 7:30 am  to 10:00 pm  for nine weeks.   The position requires employees to assume much responsibility as role model to impressionable 6 - 15 year olds.  Because of the sensitivity and importance of a position working with young people, we would appreciate your candid opinion of this applicant.

 

 

  Applicant's Name 

  How long have you know the applicant? 

  In what capacity? 

Please evaluate these traits on a scale from 1 to 5,
with 5 being excellent, 4 being good,  3 being average, 2 being weak, 1 being unacceptable

Maturity 
Loyalty 
Dependability
Honesty
 Initiative 
Leadership 
Ability to get along
Cooperation
Communication Skills 
Patience
Concern for Others
Self-Confidence
Enthusiasm
Energy
Health
Teaching Ability
Appearance

Would you place your child under the care and leadership of this applicant? 

Do you know of any personal habits, behaviors, or other circumstances (drugs, alcohol, criminal history, past convictions with children) which would in your opinion disqualify the applicant for the position of guiding and instructing young boys? If yes please explain.

We depend heavily upon third party references in our decision process. Any further, more explicit comments you wish to share below will be gratefully appreciated and kept in strictest confidence.

What is your General Estimate (HIRE, HIRABLE or QUESTIONABLE):    

Your Name:         
Daytime Phone:    
Your Email Address: