Old Faithful Christian Ranch
Reference form for staff applicant
Please mail this completed form to: Old Faithful Christian Ranch, 2364 West 81st South, Idaho Falls, ID 83402.
Name of Applicant:_________________________________________ Date:_____________________
Position (s) applied for:________________________________________________________________
Name of Reference:_________________________________________ Phone:____________________
Relationship to Applicant: _____________________________________________________________
Please give careful consideration to the questions and your answers. Your statements will be considered
confidential. For each question, please check the box which indicates the most appropriate response.
1. Personal beliefs and convictions
__Does not carry out convictions and beliefs when tested.
__Generally acts according to professed beliefs.
__Consistently lives by beliefs, regardless of the circumstances.
2. Emotional stability
__Frequent mood changes, without apparent reason.
__Tends to be overly emotional.
__Unemotional, dispassionate.
__Usually well-balanced, temperate.
__Consistently exhibits self-control and compassion.
3. Leadership Skills
__Poor leader, incapable of directing others.
__Usually follows rather than leads.
__Has little difficultly leading others.
__Quite capable of leading others.
__Exceptional leader, easily obtains the cooperation of others.
4. Ability to work with others (team player)
__Usually uncooperative-wants things done his/her own way.
__Gives limited cooperation, tends to look after own interests.
__Usually willing to cooperate for the good of the group.
__Selflessly cooperates, earnestly desires to help make things go well.
__Works exceptionally well with others.
5. Reactions toward criticisms and suggestions by others
__Takes criticism as a personal insult.
__Resents/ignores criticisms.
__Listens to criticism, but may act without considering it.
__Responds well to criticism/suggestions, willingly changes.
__Seeks the counsel and suggestions of others.
6. Responsibility
__Highly irresponsible, even when closely supervised.
__Will do satisfactory work if constantly supervised.
__Generally requires detailed instructions.
__Carries out routine activity with little supervision.
__Exceptionally responsible-works without supervision.
7. Persistence in completing tasks
__Often needs a push to get a job done.
__Very seldom competes what they start.
__Usually follows through on an assigned task, with little encouragement.
__Quite diligent and extremely dependable.
__Exceptional determination, often does more than expected.
8. How long and in what capacity have you know the applicant?
9. Are you aware of any reason why this applicant should not work with children/youth? Yes
If yes, please explain.
No
10. What is your understanding of this person’s maturity in their Christian life, their personal faith in Christ, and
their relationship to a specific Christian church?
11. Are there any strengths/weaknesses in the applicant we should know about?
13. What type(s) of people does the applicant have a close friends and acquaintances?
14. Would you be comfortable and eager to have this applicant as your child’s cabin leader or in other camp
leadership? If no, please explain.
15. Any other comments or concerns?
__Check here if you prefer we call you to discuss this applicant.
I have read and answered all questions to the best of my ability in this reference form. I certify that all answers given by me
are true, accurate and complete.
Signature:____________________________________________________
Date:____________________ Phone:___________________