Elle Adams has applied for a summer staff position at Mission Springs Conference Center. Her previous employer, Kendra Repay from Lake Geneva Youth Camp, highly recommends her. Kendra describes Elle as one of the most obedient servers she has worked with who has a strong work ethic. While Elle sometimes needs instructions repeated, Kendra believes Elle shows maturity in her work and would be a good role model for children. Kendra strongly recommends Elle for the summer staff position.

1. Summer Staff Reference
FormThis confidential form is to be completed by a recent EMPLOYERor TEACHER.
Please complete both sides and return to:
Mission Springs Conference Center
Attn: Program Department - 1050 Lockhart Gulch Road - Scotts Valley, CA 95066
Applicant Name: Elle Adams___ Position(s) Applying for:
(1)________________________
(2)________________________
This person has applied to work on Summer Staff at Mission Springs and has listed your name as a
reference. Mission Springs is a year round
Christian conference center and a summer camp for children and teens. Summer Staff responsibilities
include willingness to work
hard, serve our guests (children and adults), and work well with a group of peers. We are looking for
mature Christian applicants.
Your honest appraisal will assist us in evaluating the applicant.s qualifications and abilities for this job.
Please leave blank any questions
you feel unqualified to answer, and feel free to include a personal note regarding the qualifications of the
applicant. Please remember that
it will be truly the exceptional person that ranks high in all categories. Your prompt and honest
response is greatly appreciated.
Thank you. (We prefer to have all references returned within a week from when you receive them.)
How long have you known the applicant? 6 years In what capacity? Co-worker/supervisor/friend____
What type of work did the applicant perform? Server in LGYC’s dining room
What was their attitude toward work / learning? Eager and willing
What was their attitude toward their supervisor? Always did anything I asked without complaint
In what areas did the applicant excel? Are there any noteworthy accomplishments or qualities that we
should be aware of? She is one of the most obedient servers I have ever worked with.
Please evaluate the applicant.s maturity of judgment and dependability. She has a strong work ethic,
even if something kept her up late she would perform just as well as any other day. I believe this
shows maturity because most servers would call in, or would have a sluggish attitude.
Please explain any tendencies or traits which might reduce the effectiveness of the applicant in the
position(s) listed above. Sometimes she has to be shown something or explained something twice.
Would you want to place your own child under the influence and care of this individual? If not, please
explain why. Yes
Do you recommend the applicant? Are you aware of any reason that this applicant should NOT be
considered for employment? I do recommend her. She has a very good concept of work time being
work time. Play time being only when appropriate.
Please X the qualities that bestdescribethe applicantin the following
areas:
Work Habits
___Makes trouble ___Resents suggestions _X_Follows suggestions willingly_X_Meets average expectations
___Does over & above
_X_Teachable _X_Self-starter ___Neglects common good for own interests _X_Works for common cause regardless
of self-benefit
___Needs much prodding /lazy ___Needs constantsupervision ___Completes assignments on own accord
___Unusual perseverance
Leadership Ability / Style

2. _X_Usuallyfollows ___Poor ability___Average ability _X_Good ability ___Exceptional ability _X_Servant
___Dominant
SocialInteraction / Relationship with Peers
___Avoided by others ___Tolerated by others ___Liked byothers _X_Well-liked by others ___Respected ___Sought
out by others
Personality
___Cold ___Shy& withdrawn ___Reserved ___Quiet_X_Friendly_X_Warm _X_Outgoing ___Extroverted
___Overbearing
EmotionalStability
___EasilyDisturbed ___Often over-responds ___Tends to be moody___Relativelystable _X_Self-controlled
_X_Well-balanced
Please use the scale below to rate the applicantin the following
areas:
1-Superior 2-Above Average 3-Average 4-Weak N-No
Information
__2_Flexibility (Ability to adjust to new conditions or duties) _3_Quality (Accuracy / thoroughness of
workmanship)
__1_Attitude (Disposition toward hard work and those in authority) _2_Friendliness (Ability to make friends and
meetpeople)
_3__Personal Integrity (Honesty, good judgment) _2_Incentive (Motivated, self-starter)
__1_Dependability (Reliabilityand ability to complete task) __1__Health (Ability to work under stress)
_2_Cooperation (Ability to work as a constructive team member) _3_Appearance (Neatness,dress)
I__X_strongly recommend, _____recommend, _____recommend with hesitation, _____do not
recommend this applicant for these jobs.
AdditionalComments:
Name: Kendra Repay____________________________________________
Date: 2/26/15________________
Position/Company: Supervisor/Lake Geneva Youth Camp________
Phone (262)903-1989