Summer Start Program - Reference Form

You have been selected as a reference by a Camp Ao-Wa-Kiya staff applicant. Please fill out this form and return.

Reference provider:

Name

First Name

Last Name

Potential Staff Member

Name of Potential Staff Member

First Name

Last Name

Has this individual trusted Christ as his/her personal Savior?

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

Would he/she have a positive effect on campers?

Would you want him/her to be a counselor/staff person working with your child? Why or why not?

Is he/she mature enough to be “camper centered” rather than “self-centered”?

To the best of your knowledge, has he/she ever been accused of/arrested for/convicted of sexual abuse of children?

Please use this area to provide any additional information you feel would be helpful