Screen Reader Mode Icon
Pilgrim Pines Camp and Retreat Center’s mission is to invite people from their routines into opportunities to grow, experience renewal, and enjoy re-creation and relationships, so that they will experience God through Jesus Christ. Our summer staff is vital to this mission. It is our desire to hire a staff that is trustworthy and capable of caring for and discipling our campers. It is imperative that all summer staff members be positive spiritual role models for our campers.

Please evaluate the applicant as you have seen him/her in daily life, at work, or in a church setting. Your reference will be kept confidential.

Please expect a brief phone call or email from one of our staff members to confirm and follow up with any questions regarding your reference. If you have any questions, please contact us at Pilgrim Pines at 603.352.0443.

Question Title

* 1. Applicant's Name

Question Title

* 2. Your Contact Information

Question Title

* 3. In what capacity do you know the applicant?

Question Title

* 4. How long have you known the applicant?

Question Title

* 5. How likely is it that you would recommend this applicant to a colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

Question Title

* 6. Please rate the applicant in the following areas:

  Excellent Good Average Poor
Responsibility - diligently follows through on all tasks
Integrity - consistently trustworthy
Work Ethic - puts forth the extra effort
Communication - articulate in all groups
Leadership - leader of leaders
Emotional Stability - exceptional, stable, consistent
Motivation - extremely self motivated and proactive
Judgement - consistently makes wise decisions
Team Participation - outstanding group member

Question Title

* 7. How would you describe the applicant's Christian commitment?

Question Title

* 8. Please tell us about any areas where this applicant stands out as exceptional.

Question Title

* 9. Please list any areas for improvement for this applicant.

Question Title

* 10. Is there anything that you feel we should know about this applicant as we consider him/her for employment?

Question Title

* 11. Do you have any reason to believe this applicant is not fit to work with or provide supervision to children? Are you aware of any incidents involving child abuse or neglect?

Question Title

* 12. If yes, please explain.

0 of 12 answered
 

T