Camp Oak Hills Staff Reference Form

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The personal information requested below will supplement that provided by personal interview of the applicant. It is of great

importance to us to obtain objective and valid statements from persons who have some personal knowledge of

the applicant’s ability and characteristics.

Staff Reference Form

Name: (Your Name)

Email: (Your Email)

Phone: (Your Phone #)

Reference for: (Please give applicants name)

How long have you known the applicant? In what capacity?

Are you in a position to assess the applicant’s skills in the area for which they are being considered?

Is the applicant a Christian? Has the applicant ever shared his/her personal commitment with you?

Does the applicant take an active interest in Christian service?

Have you seen the applicant in response to understanding the Scriptures, witnessing, and prayer life?

INTEGRITY/HONESTY (Please check all that apply)

Proudly over scrupulous

Totally honest and forthright

Generally reliable

Of doubtful integrity

SELF DISCIPLINE (Please check all that apply)

Overly self-disciplined

Show good self-discipline

Over indulges in hobby or recreation

Does not control temper

FOLLOWING ORDERS (Please check all that apply)

Often disregards orders

Sometimes follows orders

Follows orders well

FRIENDLINESS (Please check all that apply)

Easily offended

Generally aloof

Often sullen

Usually friendly with many

Quiet or shy

Cliquish

INITIATIVE (Please check all that apply)

Depends on others unduly

Generally conforms

Seldom initiates

Frequently initiates

Self-reliant

Actively creative

TEAMWORK (Please check all that apply)

Frequently causes friction

Seeks to dominate

Seldom cooperative with others

Works well with others

Usually cooperative

EMOTIONAL STABILITY (Please check all that apply)

Inclined to be apathetic

Somewhat over emotional

Handles stress very well

Frequently depressed or discouraged

Well-balanced and controlled

ORDERLINESS OF WORK PLACE (Please check all that apply)

Over neat to a fault

Somewhat disorderly

Cleans up after self

Works in a mess

Usually neat

COMMUNICATION (Please check all that apply)

Faultfinding

Argumentative

Tactless

Non-argumentative, tactful

Speaks well of others

ADAPTABILITY (Please check all that apply)

Unable to cope with a new situation

Usually adjusts to change

Slow in adjustment to change

Adapts well to unusual circumstances

WORKMANSHIP (Please check all that apply)

Uneven quality in work

Most work poorly done

Usually satisfactory workmanship

Satisfactory workmanship

Extremely good workmanship

FLEXIBILITY (Please check all that apply)

Insists on doing things their way

Has difficulty adapting to new/unusual tasks

Willing to learn/try something outside his/her experience

Evidences true servant spirit

Accepts undesirable tasks with good spirit

CHRISTIAN EXPERIENCE (Please check all that apply)

Relatively superficial

Rich and growing

Overemotional

Mature, although not exceptional

Vital and contagious

WITNESS (Please check all that apply)

Has zeal, but tends to be insensitive

Shares Christ reluctantly and self-consciously

Shares faith naturally and effectively

DOCTRINE (Please check all that apply)

Deviates on major issues

Includes questionable aspects

Unduly depends on others for own beliefs

Is vague and unclear on many points

Has carefully chosen own position

LOCAL CHURCH (Please check all that apply)

Remains separate from life of church

Cooperates fully with church

Has ministry apart from church

An effective leader in church

LEADERSHIP (Please check all that apply)

Makes no effort to lead

Tries but lacks ability

Has leadership potential

Good leadership ability

Please list applicants top 3 strengths

Please list applicants top 3 weaknesses or areas to improve.

How does the applicant respond to stress?

Is there anything about the applicant’s past or present which could hinder their effectiveness at Camp Oak Hills?

If you were asked to have this person as a co-worker for several years, how would you respond?

Would you consider this applicant qualified to guide/supervise your child or teenager? Please explain

How do you rate the applicant’s potential as an employee with Camp Oak Hills?

Exceptional

Superior

Good

Average

Below Average

If you wish, please comment further, either elaborating on points already mentioned or summarizing your opinion of the applicant.

Thank you for submitting your reference.

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Camp Oak Hills is Part of the Oak Hills Fellowship Family of Ministries

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Address

1696 South Camp Rd SW

Bemidji, MN 56601

Contact Camp Oak Hills

218.444.4085

campinfo@oakhills.edu

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Camp Oak Hills does not discriminate on the basis of race, color, national origin, gender, or handicap.

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