Reference Form

The applicant is being considered for a position at YMCA Hayo-Went-Ha Camps. We seek highly qualified staff to be leaders and role models to our campers. Your thoughtful and confidential comments are deeply appreciated. Thank you.

Your Information

Name

Email

Mobile Phone

Applicant Information

Applicant Name

First

Last

For approximately how long have you known the applicant?

Are there any circumstances in the applicants background which affect their suitability for this job?

Yes
No

Please elaborate on the circumstances which affect the applicants suitability for this job?

Applicant Details

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The applicant is physically active, vigorous and athletic.	Strongly DisagreeThe applicant is physically active, vigorous and athletic. Strongly Disagree	DisagreeThe applicant is physically active, vigorous and athletic. Disagree	NeutralThe applicant is physically active, vigorous and athletic. Neutral	AgreeThe applicant is physically active, vigorous and athletic. Agree	Strongly AgreeThe applicant is physically active, vigorous and athletic. Strongly Agree
The applicant is very social and sought out by others..	Strongly DisagreeThe applicant is very social and sought out by others.. Strongly Disagree	DisagreeThe applicant is very social and sought out by others.. Disagree	NeutralThe applicant is very social and sought out by others.. Neutral	AgreeThe applicant is very social and sought out by others.. Agree	Strongly AgreeThe applicant is very social and sought out by others.. Strongly Agree
The applicant is very intelligent.	Strongly DisagreeThe applicant is very intelligent. Strongly Disagree	DisagreeThe applicant is very intelligent. Disagree	NeutralThe applicant is very intelligent. Neutral	AgreeThe applicant is very intelligent. Agree	Strongly AgreeThe applicant is very intelligent. Strongly Agree
The applicant is very creative.	Strongly DisagreeThe applicant is very creative. Strongly Disagree	DisagreeThe applicant is very creative. Disagree	NeutralThe applicant is very creative. Neutral	AgreeThe applicant is very creative. Agree	Strongly AgreeThe applicant is very creative. Strongly Agree
The applicant is very expressive and able to communicate effectively.	Strongly DisagreeThe applicant is very expressive and able to communicate effectively. Strongly Disagree	DisagreeThe applicant is very expressive and able to communicate effectively. Disagree	NeutralThe applicant is very expressive and able to communicate effectively. Neutral	AgreeThe applicant is very expressive and able to communicate effectively. Agree	Strongly AgreeThe applicant is very expressive and able to communicate effectively. Strongly Agree
The applicant is eager to help and serve others.	Strongly DisagreeThe applicant is eager to help and serve others. Strongly Disagree	DisagreeThe applicant is eager to help and serve others. Disagree	NeutralThe applicant is eager to help and serve others. Neutral	AgreeThe applicant is eager to help and serve others. Agree	Strongly AgreeThe applicant is eager to help and serve others. Strongly Agree
The applicant demonstrates initiative and follow through.	Strongly DisagreeThe applicant demonstrates initiative and follow through. Strongly Disagree	DisagreeThe applicant demonstrates initiative and follow through. Disagree	NeutralThe applicant demonstrates initiative and follow through. Neutral	AgreeThe applicant demonstrates initiative and follow through. Agree	Strongly AgreeThe applicant demonstrates initiative and follow through. Strongly Agree
The applicant works very well in a team setting.	Strongly DisagreeThe applicant works very well in a team setting. Strongly Disagree	DisagreeThe applicant works very well in a team setting. Disagree	NeutralThe applicant works very well in a team setting. Neutral	AgreeThe applicant works very well in a team setting. Agree	Strongly AgreeThe applicant works very well in a team setting. Strongly Agree
The applicant is perceptive and considerate of others feelings.	Strongly DisagreeThe applicant is perceptive and considerate of others feelings. Strongly Disagree	DisagreeThe applicant is perceptive and considerate of others feelings. Disagree	NeutralThe applicant is perceptive and considerate of others feelings. Neutral	AgreeThe applicant is perceptive and considerate of others feelings. Agree	Strongly AgreeThe applicant is perceptive and considerate of others feelings. Strongly Agree
The applicant is emotionally stable and secure.	Strongly DisagreeThe applicant is emotionally stable and secure. Strongly Disagree	DisagreeThe applicant is emotionally stable and secure. Disagree	NeutralThe applicant is emotionally stable and secure. Neutral	AgreeThe applicant is emotionally stable and secure. Agree	Strongly AgreeThe applicant is emotionally stable and secure. Strongly Agree
The applicant is calm and levelheaded when confronted with frustrating situations.	Strongly DisagreeThe applicant is calm and levelheaded when confronted with frustrating situations. Strongly Disagree	DisagreeThe applicant is calm and levelheaded when confronted with frustrating situations. Disagree	NeutralThe applicant is calm and levelheaded when confronted with frustrating situations. Neutral	AgreeThe applicant is calm and levelheaded when confronted with frustrating situations. Agree	Strongly AgreeThe applicant is calm and levelheaded when confronted with frustrating situations. Strongly Agree
The applicant adapts easily to changing situations.	Strongly DisagreeThe applicant adapts easily to changing situations. Strongly Disagree	DisagreeThe applicant adapts easily to changing situations. Disagree	NeutralThe applicant adapts easily to changing situations. Neutral	AgreeThe applicant adapts easily to changing situations. Agree	Strongly AgreeThe applicant adapts easily to changing situations. Strongly Agree
The applicant admits and deals with mistakes.	Strongly DisagreeThe applicant admits and deals with mistakes. Strongly Disagree	DisagreeThe applicant admits and deals with mistakes. Disagree	NeutralThe applicant admits and deals with mistakes. Neutral	AgreeThe applicant admits and deals with mistakes. Agree	Strongly AgreeThe applicant admits and deals with mistakes. Strongly Agree
The applicant is a positive role model.	Strongly DisagreeThe applicant is a positive role model. Strongly Disagree	DisagreeThe applicant is a positive role model. Disagree	NeutralThe applicant is a positive role model. Neutral	AgreeThe applicant is a positive role model. Agree	Strongly AgreeThe applicant is a positive role model. Strongly Agree
The applicant listens effectively.	Strongly DisagreeThe applicant listens effectively. Strongly Disagree	DisagreeThe applicant listens effectively. Disagree	NeutralThe applicant listens effectively. Neutral	AgreeThe applicant listens effectively. Agree	Strongly AgreeThe applicant listens effectively. Strongly Agree
The applicant is not easily embarrassed.	Strongly DisagreeThe applicant is not easily embarrassed. Strongly Disagree	DisagreeThe applicant is not easily embarrassed. Disagree	NeutralThe applicant is not easily embarrassed. Neutral	AgreeThe applicant is not easily embarrassed. Agree	Strongly AgreeThe applicant is not easily embarrassed. Strongly Agree

Please include any additional remarks that you consider important:

Reference Form

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YMCA Hayo-Went-Ha Camps

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The State YMCA of Michigan
YMCA Camp Hayo-Went-Ha on Torch Lake

YMCA Camp Arbutus Hayo-Went-Ha

Reference Form

Your Information

Applicant Information

YMCA Hayo-Went-Ha Camps

Next Steps

Whispering Pines

Stay Connected

The State YMCA of Michigan YMCA Camp Hayo-Went-Ha on Torch Lake

YMCA Camp Arbutus Hayo-Went-Ha

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The State YMCA of Michigan
YMCA Camp Hayo-Went-Ha on Torch Lake