Pastoral Reference | Crystal Springs Baptist Camp

Name of Applicant*

First Last

Objective Evaluation

Under each general heading, select the phrase that most accurately describes the applicant’s habitual behavior with regard to that specific trait. Please remember that it will be the truly exceptional person that ranks high in all categories.

How well is the applicant able to direct and influence others?

How responsible is the applicant?

How does the applicant demonstrate a lifestyle committed to spiritual growth and integrity?

How well does the applicant control emotions?

Objective Rating*

With “1” as the lowest or poorest end of the scale and “4” as the highest or best, please select the appropriate number.

	1 (Poor)	2 (Below Average)	3 (Above Average)	4 (Superior)
Teachability
Ability to follow instructions
Outgoing
Work with children/youth
Fulfilling obligations
Sense of humor
Temper control
Enthusiasm
Trustworthiness
Tactfulness
Leadership ability
Friendly

Narrative Report

Please state briefly specific occurrances in which you have observed the applicant’s behavior as it applies to any of these items. If you lack personal knowledge on a given topic, please say so.

1. How long have you known the applicant?*

In what capacity?*

2. Would you be willing to place your child under the applicant's direct influence and care?

Yes

Please Explain

3. Dependability. Can he/she be relied upon? Does this person weaken in absence of supervision?*

4. Do you recommend this person for a volunteer counseling position?

Yes

5. Please provide any additional comments you feel will help us consider this applicant.

Can we contact you over the phone for more information?

If you feel there is additional information that would be best communicated over the phone; please check this box. A Crystal Springs Baptist Camp representative will contact you.

Phone*

Signature*

First Last

Signature Date*

Name

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