Applicant's Name

Position applied for

For year

Your Name

Your E-mail Address

Your phone #

Relation to applicant

How long have you known applicant?

Check the position that most nearly describes the applicant in that area.

A. Spiritual Qualities

1. Spiritual maturity and stability

2. Christian Example

3. Sensitive to spiritual counseling

4. Evidence of Christian growth

5. Spiritual leadership

6. Church attendance & participation

B. Job Performance

1. Performance of specified jobs

2. Ability to work well with others

3. Ability to follow instructions

4. Industry, resourcefulness, enthusiasm

5. Responsible / can work unsupervised

6. Willingness to learn / try new things

C. Personality Characteristics

1. Gets along with others

2. Emotional maturity and stability

3. Social awareness, tact, friendliness

4. Outgoing / makes friends easily

5. Acceptance by peers

D. Character

1. Honesty

2. Truthfulness

3. Reliability

4. Morality

5. Faithful to commitments

6. Attitude toward authority

7. Trustworthiness with children

Do you know of any reason that this person should not be allowed to work with children?

If yes, please explain here:

Do you recommend the above to serve at Camp Kearney?

Please add any additional comment you may have here: