Lake Forest Ranch Summer Staff Reference Form

Please complete and submit this form by February 28

This form will probably take about 20 minutes to complete. Thank you for taking the time to help this young person with the application process.

Name of the Summer Staff Applicant *

Position(s) for which the applicant is applying * 🛈

Name of the Reference * 🛈

Phone Number * 🛈

Would you like for us to call you in regards to any concern you have with this applicant? *

Not necessary, this reference form is enough.

Yes, I would like to speak with a camp representative.

Your Occupation *

General Description of Responsibilities of Summer Staff Positions:

Camp Counselors will live with and care for 7-10 children (ages 7-12) or youth (ages 11-18) for up to a week at a time for 12 camp sessions. Some of the responsibilities include sharing the gospel with the campers, leading Bible study and devotionals, enforcing cabin discipline, prayer without ceasing, facilitating recreation activities as trained to do, and basically pouring his/her heart, time, and life into groups of campers each week.

Support Staff positions must have had experience or training for their specific responsibilities (i.e. lifeguard, wrangler, admin. asst., etc) and also be qualified to serve as a substitute Camp Counselor if needed.

Workstaff members must be hard workers, “team players”, servant hearts, and be hungry disciples of Jesus Christ.

Workstaff Counselors must fullfill the qualifications of both "counselor" and "workstaff" listed above.

Tribe Leaders must be outstanding Christian role models, very responsible and must demonstrate an obvious ability to lead and be protective of young children.

Based on the general description of ministry responsibilities listed above, on a 1-10 scale with “1” indicating NO WAY i.e., “This person is not qualified at all for the position(s) listed,” and “5” being “JUST AVERAGE,” and “10” indicating “WONDERFULLY SUITED,” I would recommend him/her to care for and/or do the work on behalf of my child or any child close to me.

You only need to answer the position(s) for which they are applying.

	1	2	3	4	5	6	7	8	9	10
Counselor	1	2	3	4	5	6	7	8	9	10
Workstaff	1	2	3	4	5	6	7	8	9	10
Workstaff Counselor	1	2	3	4	5	6	7	8	9	10
Administrative Assistant	1	2	3	4	5	6	7	8	9	10
Lifeguard	1	2	3	4	5	6	7	8	9	10
Food Service Assistant	1	2	3	4	5	6	7	8	9	10
Nanny	1	2	3	4	5	6	7	8	9	10
Wrangler	1	2	3	4	5	6	7	8	9	10
Assistant Wrangler	1	2	3	4	5	6	7	8	9	10
Tribe Leader	1	2	3	4	5	6	7	8	9	10
Groundskeeper/Facilities Assistant	1	2	3	4	5	6	7	8	9	10
Photographer	1	2	3	4	5	6	7	8	9	10
Videographer	1	2	3	4	5	6	7	8	9	10
Worship Team Member	1	2	3	4	5	6	7	8	9	10

Please give any further explanation to the rating(s) you gave above:

How long and in what capacity have you known the applicant? *

Are you familiar with the ministry of Lake Forest Ranch? *

Yes

No

If so, what is your history/connection with the camp?

How well do you feel that you know the applicant right now? *

Acquaintance only and have never had a close relationship (do not feel qualified to be a reference)

Have known applicant in the past but have lost touch for some time (uncertain reference)

Employee or Church member and known only in relation to work or church (limited reference)

Friend - not real close lately but stay in touch regularly (semi-confident as a reference)

Close Friend - stay in touch regularly and talk together about sensitive issues regularly (confident reference)

Confidant - mentor relationship or heart-friend – investing regularly in this relationship and we are both deeply committed to it

How does the applicant respond to authority and how well does he/she follow instructions? *

From your observation, what are the two most obvious weaknesses in this applicant’s life? How aware of these weaknesses is the applicant? *

What areas of strength, talent and/or spiritual gifting have you observed in the applicant’s life? *

Does the applicant demonstrate a love for God and a love for people flowing out of a sincere faith in Christ and would you consider him/her well-grounded Biblically in his/her walk with Christ? Please briefly give evidence of this. *

How well does this person work in a group setting with peers as a "team-player?" *

Great team-player

Able to work adequately with a team

Does not work well with a team

Please briefly explain and include any known experience applicant has had in ministry with children ages 7-18.

Check all of the following that apply to the applicant’s relationship with the opposite gender. *

Please comment or clarify any of these that might be important for us to know about.

To your knowledge, has the applicant ever been accused of abusing or mistreating a child in any way? If "yes", please explain. *

No

Yes Yes

Is there anything about this applicant that would be a “red flag” concerning his/her suitability for living in a cabin with and working with and leading children and youth in a Christian camp setting? If "yes", please explain. *

No

Yes Yes

Please check all of the following words which would apply to the applicant. *

Please select one of the following statements that you feel would be most accurate concerning this applicant? *

Serving at Lake Forest Ranch would be a wonderful blessing for the applicant but maybe not good for LFR

Serving at Lake Forest Ranch would be a wonderful blessing for the applicant and for LFR

Serving at Lake Forest Ranch would not be a blessing for either the applicant or for LFR.

If you know of one, please give the name and phone number of another reference for this individual who knows the applicant well.

0/30 characters

SIGNATURE:

By signing my name below, it will serve to say that I understand the enormity of responsibility that this applicant will have in working closely with children according to the General Description of Responsibilities of Summer Staff Positions at the top of this form. I acknowledge that this applicant will provide care & protection for kids. I affirm that all of my answers about this individual are accurate to the best of my knowledge.

By signing your name, you are signifying that you have read and agree with the above statement. *

clear

Keep this confidential?

No

Yes

ADDITIONAL NOTES:

Feel free to tell us any additional information that would be helpful to us in making a decision about selecting this applicant as a member of the LFR Summer Staff Family. You can contact LFR via phone or email (662) 726.5052 or rich@lakeforestranch.com

Enthusastic	Insecure	Independent	Dependable	Servant
Fun-loving	Loyal	Healthy	Easily angered	Outspoken
Sheltered	Intelligent	Follower	Nervous	Naive
Rebellious	Humble	Easily offended	Opinionated	Loner
Outgoing	Resourceful	Cheerful	Flirtatious	Slow
Happy	Confrontational	Tactful	Self-centered	Moody
Self-conscious	Intense	Physically fit	Self-critical	Teachable
Serious	Courteous	Shy	Imaginative	Responsible
High-strung	Protective	Leader	Organizer	Energetic
Irresponsible	Hyper-sensitive	Critical	Grateful	Takes initiative
Average	Prideful	Respectful	Lazy	Socially awkward
Legalistic	Patient	Immature	Gracious	Introvert
Confident	Personable	Easy-going