Staff Reference Form

You have been selected as a reference by a Camp Ao-Wa-Kiya staff applicant. Please fill out this form and submit. all information will be held strictly confidential

Your Name

Phone

Country

(###)

###

####

Name of Potential Staff

Has this individual trusted Christ as his/her personal Savior? YES or NO

How does his/her life give evidence of this relationship with Christ?

Would he/she have a positive effect on campers? YES or NO

Would you want him/her to be a counselor/camp staff member working with your child? Please explain

Do you believe that this individual is mature enough to be "camper centered" rather than "self-centered"? YES or NO

To the best of your knowledge has this individual ever been accused of/arrested for, or convicted of sexual abuse of children? YES or NO

Please use this area to provide us with any additional important information that you feel might be vital for us to know if this person is accepted as staff at Camp AoWaKiya.

Your Signature

Date

YYYY

Staff Reference Form

You have been selected as a reference by a Camp Ao-Wa-Kiya staff applicant. Please fill out this form and submit. all information will be held strictly confidential

Or you can download and print out a paper form here and mail it to the camp address.