Reference Form « Pembina Valley Bible Camp

Reference Form

We have two reference form options. The form that you see below can just be filled out and upon hitting submit, it will be emailed to the camp office. If you wish to have a copy for yourself you can open this pdf. If you do, fill it out, save a copy for yourself and email a copy to Janine here.

Staff Reference Form

This reference is confidential. Please do not return to applicant.

Name of Applicant*

First
Last
How long have you known the applicant and in what capacity?*
Please tell us your perception of the applicant on the characteristics listed below. If you mark weak or poor, please comment is the space given.
Name of Applicant*
Comment*
Responsibility*
Comment*
Initiative*
Comment*
Leadership*
Comment*
Judgement*
Comment*
Emotional Stability*
Comment*
Spiritual Integrity*
Comment*
Teamwork*
Comment*
Dependable*
Comment*
Controlled Temper*
Comment*
Attitude Towards Opposite Gender*
Comment*
Attitude Towards Discipline/Correction*
Comment*
Willingness to do Unpleasant Tasks*
Comment*
Respect for Authority*
Comment*
Relationships with Peers*
Comment*
Relationships with Adults*
Comment*
Do you feel the applicant has an active relationship with Christ as his/her personal Saviour?*
Comments appreciated.
Does the applicant have any problems or habits that you think we should be aware of in their possible ministry with young people? Explain.*
Would you consider the applicant qualified to counsel or live in a cabin with our campers?*
What special contributi on(s) do you feel the applicant would make to PVBC?*
Any Extra Notes
I*
- highly recommend
- recommend
- recommend with reservations
- do not recommend the applicant
Your Info
Name*

First
Last
Address*

Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code

Country
Email*

Enter Email
Confirm Email

Reference Form

Staff Reference Form

Your Info

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