Camp AmeriKids 2024 - Professional or Academic Reference Form

This person is applying for a volunteer position at Camp AmeriKids, a residential summer program for children affected by chronic illness. The applicant will be responsible, along with a small team of counselors and medical staff, for the 24-hour support and supervision of children ages 8-16. Please consider this when responding.

For more information about the program, you can visit our website: www.elm-project.org. Please email or call our Executive Director, Chloe Ettari, with any questions/concerns you may have: volunteer@elm-project.org or (203) 658-9671.

All reference forms will be kept confidential as part of the applicant’s record.

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* 1. Candidate Name

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* 2. Your Name (Reference)

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* 3. Your Company / Organization / School

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* 4. Your Position Title

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* 5. Your Phone Number

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* 6. Your Email Address

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* 7. Relationship to Applicant

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* 8. How long have you known the applicant?

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* 9. Please evaluate the above-named person in the following categories.

  U - Unable to Evaluate 1 - Strongly Disagree 2 - Somewhat Disagree 3 - Neither Agree nor Disagree 4 - Somewhat Agree 5 - Strongly Agree
Dependable
Prepared for activities
Punctual
Able to work long hours
Able to maintain a positive attitude under stress
Creative
Able to communicate effectively
Patient
Able to maintain confidentiality
Able to relate well to people from diverse backgrounds
Able to maintain a safe environment
Approachable, friendly, pleasant
Able to give and receive constructive feedback
Open to new ideas and changes in routine
Honest

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* 10. Please explain areas of improvement in categories that scored a 2 or below.

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* 11. Is there any reason why this applicant should not be considered for this position?

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* 12. If you answered 'yes' to the above question, please explain why.

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* 13. Please share any additional information that you would like to include about this applicant.

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* 14. Would you like to be contacted by our Executive Director to discuss further?

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* 15. Questions? Comments? Concerns?

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