Junior Counselor References

Junior Counselor Reference Form

You were listed as a reference for a teen who has applied to volunteer as a Junior Counselor for Living History Farms' Day Camp. Please fill out the form below to tell us more about the applicant. Thank you for your time! Note: Your responses are personal and do not reflect on the views of any company or organization to which you belong now, or in the past.
Your Name*
First Last
Applicant's Name*
First Last
Your relationship to the applicant*
How long have you known the applicant?*
How would you describe the applicant's personality?*
How well does the applicant interact with children and youth? Is there anything about this person that you think would prevent them from working well with children ages 5-13?*
How well does the applicant follow directions, take instruction, and work with others?
Can you describe an example of the applicant demonstrating respect, fairness, and inclusion for others with different backgrounds and beliefs?
Do you think this person will work well in an outdoor setting this summer? Why or why not?
Does the applicant enjoy hands-on activities, crafts/making things, and games?
May we share your comments with the applicant?*
Electronic Signature*
By checking the box below, I certify that the above statements are true and complete to the best of my knowledge. This serves as my electronic signature on this form.
I certify that the above statements are true and complete.
Type your name here*
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.