2020 Ohio Military Kids Volunteer Reference Form

Thank you for taking time to write a reference for a potential Ohio Military Kids Volunteer for Camp Kelleys Island. The camp counselor selection committee would like your input about the qualities and ability to fulfill the responsibilities of a counselor. The information you include will not be shared with the applicant. Please complete this reference form based on your knowledge and/or observations. The selection commitee may reach out directly for additional information about the applicant.

Thank you for your help.

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* 1. The first and last name of the applicant I am writing on behalf of:

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* 2. How long have you known the applicant?

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* 3. What is your relationship to the applicant

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* 4. Please provide your contact information.

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 5. Please mark how you would evaluate the applicant's qualities, using this scale.

	Not Known	Poor	Fair	Good	Excellent
Responsibility	Responsibility Not Known	Responsibility Poor	Responsibility Fair	Responsibility Good	Responsibility Excellent
Communication Skills	Communication Skills Not Known	Communication Skills Poor	Communication Skills Fair	Communication Skills Good	Communication Skills Excellent
Respect for Others	Respect for Others Not Known	Respect for Others Poor	Respect for Others Fair	Respect for Others Good	Respect for Others Excellent
Dependability	Dependability Not Known	Dependability Poor	Dependability Fair	Dependability Good	Dependability Excellent
Enthusiasm	Enthusiasm Not Known	Enthusiasm Poor	Enthusiasm Fair	Enthusiasm Good	Enthusiasm Excellent
Flexibility	Flexibility Not Known	Flexibility Poor	Flexibility Fair	Flexibility Good	Flexibility Excellent
Patience	Patience Not Known	Patience Poor	Patience Fair	Patience Good	Patience Excellent
Initiative	Initiative Not Known	Initiative Poor	Initiative Fair	Initiative Good	Initiative Excellent
Resourcefulness	Resourcefulness Not Known	Resourcefulness Poor	Resourcefulness Fair	Resourcefulness Good	Resourcefulness Excellent
Ability to work with children (age 5 - 10)	Ability to work with children (age 5 - 10) Not Known	Ability to work with children (age 5 - 10) Poor	Ability to work with children (age 5 - 10) Fair	Ability to work with children (age 5 - 10) Good	Ability to work with children (age 5 - 10) Excellent
Ability to work with children (age 11 - 14)	Ability to work with children (age 11 - 14) Not Known	Ability to work with children (age 11 - 14) Poor	Ability to work with children (age 11 - 14) Fair	Ability to work with children (age 11 - 14) Good	Ability to work with children (age 11 - 14) Excellent
Ability to work with other teens	Ability to work with other teens Not Known	Ability to work with other teens Poor	Ability to work with other teens Fair	Ability to work with other teens Good	Ability to work with other teens Excellent
Ability to work with adults	Ability to work with adults Not Known	Ability to work with adults Poor	Ability to work with adults Fair	Ability to work with adults Good	Ability to work with adults Excellent

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* 6. Please provide any comments about why you feel this applicant would be a valuable member of the Ohio Military Kids counselor team.

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* 7. Please provide any concerns you may have about this applicant.

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* 8. Please provide any additional comments or insights here.

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* 9. I would like to be contacted to give additional information about this applicant.

Yes

2020 Ohio Military Kids Volunteer Reference Form