Camp Amnicon - Summer Staff Reference Form

Name of Applicant *

Greetings from Amnicon!

Thank you for serving as a reference for one of our applicants. This form should take no more than 10 minutes, and is an essential component in the application for employment. Please complete this form promptly, because we will be unable to offer a position to the applicant in question if this form is not completed.

As a reference it is important for you to know a little about Amnicon. Amnicon is a Lutheran Outdoor Ministry affiliated with the Evangelical Lutheran Church of America (ELCA). We offer wilderness high adventure programs for youth and adults. We focus on spiritual reflection, community living, leadership development, and environmental stewardship. If selected as a staff member, the applicant will be responsible for the supervision and safety of camping and retreat groups, often far from emergency services and support. Specific responsibilities will vary depending on the position for which they are applying. Please see Amnicon's available summer positions for more detailed job descriptions.

Maturity and judgment as well as being a positive role model are important qualities for an Amnicon Staff member. We are therefore eager to select those individuals whose personal attributes and abilities indicate that they have the greatest potential for working successfully with youth in a wilderness setting. An Amnicon Staff Member will often find themselves far outside their comfort zone, surrounded by strange places and new people who are also outside their own comfort zones, and if that wasn't enough, it frequently rains. We are looking for those individuals who can, in the midst of such challenges, maintain a cheerful attitude, exercise good judgment to accomplish the tasks at hand, and make the best decisions for their groups' safety.

Please give careful consideration to the questions listed below. There will be a space at the end for any additional comments. Your insight is greatly appreciated. You can learn more about Amnicon at www.amnicon.org.

Thank you for serving as a reference!

How long have you known this applicant? *

What is the nature of your association? *

Please check all qualities describing the applicant. *

What do you see as the applicants greatest strength and greatest weakness with regard to this staff position? *

If you are able, please give a brief description of a time you observed the applicant in a situation that was unfamiliar to them - when they were "outside their comfort zone". What was the nature of the situation? How did the applicant respond to the situation? *

Describe how you see this person living out his/her faith. *

Please make any other comments you feel are appropriate. Especially consider our rustic wilderness setting, safety, attention to detail, and interaction with coworkers and campers. *

Rate the applicant on the following factors.

Motivation for youth work *

Genuineness and Commitment *

Emotional Stability *

Performance under Pressure *

Reliability, Promptness, and Conscientiousness *

Empathy, Tact, Sensitivity to Others *

Creativity *

Communication Skills; Articulate and Clear *

Skill in managing resources *

Tenacity, Perseverence,
and Follow-through *

Physical Health, Stamina,
and Endurance *

Judgement, Maturity in
Sensitive Situations *

Ability to Arouse Enthusiasm *

Ability to Accept Criticism *

Initiative-taking *

Personal Integrity *

Is there any reason that this person should not be working with children? (Camp Amnicon staff are expected to work with all ages.) *

Yes

No

If yes, please explain.

Please indicate your overall evaluation of this applicant for an Amnicon staff position *

Your Name *

Day Phone *

E-mail Address

Online Signature *

Date *

Assertive	Cheerful	Determined	Permissive
Flexible	Patient	Safety Minded	Dependable
Moody	Creative	Outgoing	Private
Serious	Team Player	Empathetic	Follower
Leader	Listener	Shy	Cooperative
Self-Confident	Self Starter	High Energy	Easy Going
Disciplined	Approachable	Respectful	Other Other