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.