2017 Summer Staff Reference Form Survey

You have been selected as a reference by an individual applying for employment at Covenant Point Bible Camp, owned and operated by the Central Conference of the Evangelical Covenant Church. We are looking for mature, hard working, trustworthy, Christian applicants who will be positive role models for children ages 6 - 18. Your honest appraisal is necessary to help us evaluate the applicant's qualifications and abilities. All comments are confidential. A representative from Covenant Point may call you to confirm the reference. If you have any questions or concerns, please contact Covenant Point Bible Camp at (906)-265-2117. Learn more about Covenant Point at www.cpbc.com.

	1	2	3	4	5	6	7	8	9	10
1 Self Starter -- 10 Procrastinates	1 Self Starter -- 10 Procrastinates 1	1 Self Starter -- 10 Procrastinates 2	1 Self Starter -- 10 Procrastinates 3	1 Self Starter -- 10 Procrastinates 4	1 Self Starter -- 10 Procrastinates 5	1 Self Starter -- 10 Procrastinates 6	1 Self Starter -- 10 Procrastinates 7	1 Self Starter -- 10 Procrastinates 8	1 Self Starter -- 10 Procrastinates 9	1 Self Starter -- 10 Procrastinates 10
1 Independent Thinker -- 10 Needs Instruction	1 Independent Thinker -- 10 Needs Instruction 1	1 Independent Thinker -- 10 Needs Instruction 2	1 Independent Thinker -- 10 Needs Instruction 3	1 Independent Thinker -- 10 Needs Instruction 4	1 Independent Thinker -- 10 Needs Instruction 5	1 Independent Thinker -- 10 Needs Instruction 6	1 Independent Thinker -- 10 Needs Instruction 7	1 Independent Thinker -- 10 Needs Instruction 8	1 Independent Thinker -- 10 Needs Instruction 9	1 Independent Thinker -- 10 Needs Instruction 10
1 Takes Charge -- 10 Usually Follows	1 Takes Charge -- 10 Usually Follows 1	1 Takes Charge -- 10 Usually Follows 2	1 Takes Charge -- 10 Usually Follows 3	1 Takes Charge -- 10 Usually Follows 4	1 Takes Charge -- 10 Usually Follows 5	1 Takes Charge -- 10 Usually Follows 6	1 Takes Charge -- 10 Usually Follows 7	1 Takes Charge -- 10 Usually Follows 8	1 Takes Charge -- 10 Usually Follows 9	1 Takes Charge -- 10 Usually Follows 10
1 Adapts Well -- 10 Struggles with Changing Circumstances	1 Adapts Well -- 10 Struggles with Changing Circumstances 1	1 Adapts Well -- 10 Struggles with Changing Circumstances 2	1 Adapts Well -- 10 Struggles with Changing Circumstances 3	1 Adapts Well -- 10 Struggles with Changing Circumstances 4	1 Adapts Well -- 10 Struggles with Changing Circumstances 5	1 Adapts Well -- 10 Struggles with Changing Circumstances 6	1 Adapts Well -- 10 Struggles with Changing Circumstances 7	1 Adapts Well -- 10 Struggles with Changing Circumstances 8	1 Adapts Well -- 10 Struggles with Changing Circumstances 9	1 Adapts Well -- 10 Struggles with Changing Circumstances 10
1 Sought Out by Others -- 10 Avoided by Others	1 Sought Out by Others -- 10 Avoided by Others 1	1 Sought Out by Others -- 10 Avoided by Others 2	1 Sought Out by Others -- 10 Avoided by Others 3	1 Sought Out by Others -- 10 Avoided by Others 4	1 Sought Out by Others -- 10 Avoided by Others 5	1 Sought Out by Others -- 10 Avoided by Others 6	1 Sought Out by Others -- 10 Avoided by Others 7	1 Sought Out by Others -- 10 Avoided by Others 8	1 Sought Out by Others -- 10 Avoided by Others 9	1 Sought Out by Others -- 10 Avoided by Others 10
1 Socially Awkward -- 10 Socially Adept	1 Socially Awkward -- 10 Socially Adept 1	1 Socially Awkward -- 10 Socially Adept 2	1 Socially Awkward -- 10 Socially Adept 3	1 Socially Awkward -- 10 Socially Adept 4	1 Socially Awkward -- 10 Socially Adept 5	1 Socially Awkward -- 10 Socially Adept 6	1 Socially Awkward -- 10 Socially Adept 7	1 Socially Awkward -- 10 Socially Adept 8	1 Socially Awkward -- 10 Socially Adept 9	1 Socially Awkward -- 10 Socially Adept 10
1 Brings Unity -- 10 Divisive	1 Brings Unity -- 10 Divisive 1	1 Brings Unity -- 10 Divisive 2	1 Brings Unity -- 10 Divisive 3	1 Brings Unity -- 10 Divisive 4	1 Brings Unity -- 10 Divisive 5	1 Brings Unity -- 10 Divisive 6	1 Brings Unity -- 10 Divisive 7	1 Brings Unity -- 10 Divisive 8	1 Brings Unity -- 10 Divisive 9	1 Brings Unity -- 10 Divisive 10
Personality: 1 Warm -- 10 Cold	Personality: 1 Warm -- 10 Cold 1	Personality: 1 Warm -- 10 Cold 2	Personality: 1 Warm -- 10 Cold 3	Personality: 1 Warm -- 10 Cold 4	Personality: 1 Warm -- 10 Cold 5	Personality: 1 Warm -- 10 Cold 6	Personality: 1 Warm -- 10 Cold 7	Personality: 1 Warm -- 10 Cold 8	Personality: 1 Warm -- 10 Cold 9	Personality: 1 Warm -- 10 Cold 10
1 Fun Loving -- 10 Serious	1 Fun Loving -- 10 Serious 1	1 Fun Loving -- 10 Serious 2	1 Fun Loving -- 10 Serious 3	1 Fun Loving -- 10 Serious 4	1 Fun Loving -- 10 Serious 5	1 Fun Loving -- 10 Serious 6	1 Fun Loving -- 10 Serious 7	1 Fun Loving -- 10 Serious 8	1 Fun Loving -- 10 Serious 9	1 Fun Loving -- 10 Serious 10

1 Self Starter --
10 Procrastinates

1 Self Starter --
10 Procrastinates 1

1 Self Starter --
10 Procrastinates 2

1 Self Starter --
10 Procrastinates 3

1 Self Starter --
10 Procrastinates 4

1 Self Starter --
10 Procrastinates 5

1 Self Starter --
10 Procrastinates 6

1 Self Starter --
10 Procrastinates 7

1 Self Starter --
10 Procrastinates 8

1 Self Starter --
10 Procrastinates 9

1 Self Starter --
10 Procrastinates 10

1 Independent Thinker --
10 Needs Instruction

1 Independent Thinker --
10 Needs Instruction 1

1 Independent Thinker --
10 Needs Instruction 2

1 Independent Thinker --
10 Needs Instruction 3

1 Independent Thinker --
10 Needs Instruction 4

1 Independent Thinker --
10 Needs Instruction 5

1 Independent Thinker --
10 Needs Instruction 6

1 Independent Thinker --
10 Needs Instruction 7

1 Independent Thinker --
10 Needs Instruction 8

1 Independent Thinker --
10 Needs Instruction 9

1 Independent Thinker --
10 Needs Instruction 10

1 Takes Charge --
10 Usually Follows

1 Takes Charge --
10 Usually Follows 1

1 Takes Charge --
10 Usually Follows 2

1 Takes Charge --
10 Usually Follows 3

1 Takes Charge --
10 Usually Follows 4

1 Takes Charge --
10 Usually Follows 5

1 Takes Charge --
10 Usually Follows 6

1 Takes Charge --
10 Usually Follows 7

1 Takes Charge --
10 Usually Follows 8

1 Takes Charge --
10 Usually Follows 9

1 Takes Charge --
10 Usually Follows 10

1 Adapts Well --
10 Struggles with Changing Circumstances

1 Adapts Well --
10 Struggles with Changing Circumstances 1

1 Adapts Well --
10 Struggles with Changing Circumstances 2

1 Adapts Well --
10 Struggles with Changing Circumstances 3

1 Adapts Well --
10 Struggles with Changing Circumstances 4

1 Adapts Well --
10 Struggles with Changing Circumstances 5

1 Adapts Well --
10 Struggles with Changing Circumstances 6

1 Adapts Well --
10 Struggles with Changing Circumstances 7

1 Adapts Well --
10 Struggles with Changing Circumstances 8

1 Adapts Well --
10 Struggles with Changing Circumstances 9

1 Adapts Well --
10 Struggles with Changing Circumstances 10

1 Sought Out by Others --
10 Avoided by Others

1 Sought Out by Others --
10 Avoided by Others 1

1 Sought Out by Others --
10 Avoided by Others 2

1 Sought Out by Others --
10 Avoided by Others 3

1 Sought Out by Others --
10 Avoided by Others 4

1 Sought Out by Others --
10 Avoided by Others 5

1 Sought Out by Others --
10 Avoided by Others 6

1 Sought Out by Others --
10 Avoided by Others 7

1 Sought Out by Others --
10 Avoided by Others 8

1 Sought Out by Others --
10 Avoided by Others 9

1 Sought Out by Others --
10 Avoided by Others 10

1 Socially Awkward --
10 Socially Adept

1 Socially Awkward --
10 Socially Adept 1

1 Socially Awkward --
10 Socially Adept 2

1 Socially Awkward --
10 Socially Adept 3

1 Socially Awkward --
10 Socially Adept 4

1 Socially Awkward --
10 Socially Adept 5

1 Socially Awkward --
10 Socially Adept 6

1 Socially Awkward --
10 Socially Adept 7

1 Socially Awkward --
10 Socially Adept 8

1 Socially Awkward --
10 Socially Adept 9

1 Socially Awkward --
10 Socially Adept 10

1 Brings Unity --
10 Divisive

1 Brings Unity --
10 Divisive 1

1 Brings Unity --
10 Divisive 2

1 Brings Unity --
10 Divisive 3

1 Brings Unity --
10 Divisive 4

1 Brings Unity --
10 Divisive 5

1 Brings Unity --
10 Divisive 6

1 Brings Unity --
10 Divisive 7

1 Brings Unity --
10 Divisive 8

1 Brings Unity --
10 Divisive 9

1 Brings Unity --
10 Divisive 10

Personality: 1 Warm --
10 Cold

Personality: 1 Warm --
10 Cold 1

Personality: 1 Warm --
10 Cold 2

Personality: 1 Warm --
10 Cold 3

Personality: 1 Warm --
10 Cold 4

Personality: 1 Warm --
10 Cold 5

Personality: 1 Warm --
10 Cold 6

Personality: 1 Warm --
10 Cold 7

Personality: 1 Warm --
10 Cold 8

Personality: 1 Warm --
10 Cold 9

Personality: 1 Warm --
10 Cold 10

1 Fun Loving --
10 Serious

1 Fun Loving --
10 Serious 1

1 Fun Loving --
10 Serious 2

1 Fun Loving --
10 Serious 3

1 Fun Loving --
10 Serious 4

1 Fun Loving --
10 Serious 5

1 Fun Loving --
10 Serious 6

1 Fun Loving --
10 Serious 7

1 Fun Loving --
10 Serious 8

1 Fun Loving --
10 Serious 9

1 Fun Loving --
10 Serious 10

	Excellent	Good	Average	Poor
Flexibility	Flexibility Excellent	Flexibility Good	Flexibility Average	Flexibility Poor
Judgment	Judgment Excellent	Judgment Good	Judgment Average	Judgment Poor
Dependability	Dependability Excellent	Dependability Good	Dependability Average	Dependability Poor
Rapport with Youth	Rapport with Youth Excellent	Rapport with Youth Good	Rapport with Youth Average	Rapport with Youth Poor
Integrity	Integrity Excellent	Integrity Good	Integrity Average	Integrity Poor
Anxiety	Anxiety Excellent	Anxiety Good	Anxiety Average	Anxiety Poor
Health/Stamina	Health/Stamina Excellent	Health/Stamina Good	Health/Stamina Average	Health/Stamina Poor
Team Participation	Team Participation Excellent	Team Participation Good	Team Participation Average	Team Participation Poor
Humility	Humility Excellent	Humility Good	Humility Average	Humility Poor
Cooperation	Cooperation Excellent	Cooperation Good	Cooperation Average	Cooperation Poor
First Impression	First Impression Excellent	First Impression Good	First Impression Average	First Impression Poor
Creativity	Creativity Excellent	Creativity Good	Creativity Average	Creativity Poor
Servant Heart	Servant Heart Excellent	Servant Heart Good	Servant Heart Average	Servant Heart Poor
Spiritual Maturity	Spiritual Maturity Excellent	Spiritual Maturity Good	Spiritual Maturity Average	Spiritual Maturity Poor
Leadership Potential	Leadership Potential Excellent	Leadership Potential Good	Leadership Potential Average	Leadership Potential Poor
Critical Attitude	Critical Attitude Excellent	Critical Attitude Good	Critical Attitude Average	Critical Attitude Poor

Excellent

Good

Average

Poor

Flexibility

Flexibility Excellent

Flexibility Good

Flexibility Average

Flexibility Poor

Judgment

Judgment Excellent

Judgment Good

Judgment Average

Judgment Poor

Dependability

Dependability Excellent

Dependability Good

Dependability Average

Dependability Poor

Rapport with Youth

Rapport with Youth Excellent

Rapport with Youth Good

Rapport with Youth Average

Rapport with Youth Poor

Integrity

Integrity Excellent

Integrity Good

Integrity Average

Integrity Poor

Anxiety

Anxiety Excellent

Anxiety Good

Anxiety Average

Anxiety Poor

Health/Stamina

Health/Stamina Excellent

Health/Stamina Good

Health/Stamina Average

Health/Stamina Poor

Team Participation

Team Participation Excellent

Team Participation Good

Team Participation Average

Team Participation Poor

Humility

Humility Excellent

Humility Good

Humility Average

Humility Poor

Cooperation

Cooperation Excellent

Cooperation Good

Cooperation Average

Cooperation Poor

First Impression

First Impression Excellent

First Impression Good

First Impression Average

First Impression Poor

Creativity

Creativity Excellent

Creativity Good

Creativity Average

Creativity Poor

Servant Heart

Servant Heart Excellent

Servant Heart Good

Servant Heart Average

Servant Heart Poor

Spiritual Maturity

Spiritual Maturity Excellent

Spiritual Maturity Good

Spiritual Maturity Average

Spiritual Maturity Poor

Leadership Potential

Leadership Potential Excellent

Leadership Potential Good

Leadership Potential Average

Leadership Potential Poor

Critical Attitude

Critical Attitude Excellent

Critical Attitude Good

Critical Attitude Average

Critical Attitude Poor

2017 Summer Staff Reference Form

Personal Reference Form

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* Applicant Name:

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* Please share information about yourself.

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* How long have you known the applicant?

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* What is your relationship to the applicant?

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* Please rate the applicant in the following areas relative to others at a similar level of development. Skip areas you don't feel qualified to evaluate.

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* Please rate the applicant in the following areas relative to others at a similar level of development. Skip areas you don't feel qualified to evaluate.

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* Please describe a situation or interaction that you feel best illustrates the applicant's character or ability to serve successfully in the position for which he or she applied.

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* Please assess the applicant's readiness and emotional health to work with children and peers in an intensive Christian camping experience.

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* If you had a child of camper age, would you want him or her placed under the direct care and nurturing of the applicant?

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* Do you have any reason to believe the applicant is not fit to work in close contact or individual supervision of children?

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* Please explain (only if you answered "Yes" above)

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* Recommendation for position at Covenant Point Bible Camp

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* Other Comments