REFERENCE FORM Please enable JavaScript in your browser to complete this form.Name *FirstLastRelation to Applicant *Email *Phone *Address *Emotional Maturity Selected Value: 0 1 = POOR | 10 = OUTSTANDINGRelationship with Peers Selected Value: 0 1 = POOR | 10 = OUTSTANDINGAbility to Relate to Children Selected Value: 0 1 = POOR | 10 = OUTSTANDINGHonesty / Inegrity Selected Value: 0 1 = POOR | 10 = OUTSTANDINGCreativity Selected Value: 0 1 = POOR | 10 = OUTSTANDINGTime Management Selected Value: 0 1 = POOR | 10 = OUTSTANDINGDependability Selected Value: 0 1 = POOR | 10 = OUTSTANDINGRelationship with Authority Selected Value: 0 1 = POOR | 10 = OUTSTANDINGSelf-Motivation Selected Value: 0 1 = POOR | 10 = OUTSTANDINGAre you aware of any reason this person should not work with and/or live in a cabin/tent with youth? If so, please explain. *Would you be willing to have your child under the applicant's care for a week of camp? If no, please explain. *What do you see as the applicant's greatest strengths? *How does the applicant respond to conflict? *How does the applicant express their faith? *How would you suggest Luther Crest provide an atmosphere for the applicant to succeed? *Comments / Questions / RequestsSubmit
