*Denotes Required Field * Title Eagle Bay Camp Teacher/Employer Reference Form Please send a link to this page or instruct you're reference to fill out the following information (Cannot be a family member) Please answer the following questions to the best of your ability based in our knowledge of this person. Thank you for your time in filling out this reference form * First Name of Applicant * Last Name of Applicant * How long have you know the applicant * What is your relationship to the applicant Question and Answer * Is the applicant a good student/worker? * is the applicant a responsible Individual? * In that areas does he/she excel? * In what areas does he/she struggle? * To your knowledge, has the applicant been tried of convicted for a criminal offence? Yes No If so what was the offence? * Do you recommend the applicant for the position they have applied for? * Would you desire your children to be placed under the direct charge of this person? please explain. * Do you have any additional comments about the applicant. EBC Reference Evaluation Please provide a numeral value for each of the listed qualities (1 being low and 5 being high) * Tact 1 2 3 4 5 * Physical Condition 1 2 3 4 5 * Depandability 1 2 3 4 5 * Judgment 1 2 3 4 5 * Attitude Towards Authority 1 2 3 4 5 * Ability to Work in a Team Setting 1 2 3 4 5 * Sense of Humour 1 2 3 4 5 * Honesty 1 2 3 4 5 * Friendliness and Disposition 1 2 3 4 5 * Attitude Towards Opposite Sex 1 2 3 4 5 * Attitude Towards Hard Work 1 2 3 4 5 * Initiative 1 2 3 4 5 * Leadership Ability 1 2 3 4 5 * Character 1 2 3 4 5 * Communication Skills 1 2 3 4 5 * Emotional Stability 1 2 3 4 5 * Self Control 1 2 3 4 5 * Ability to take Criticism 1 2 3 4 5 * Conflict Resolution 1 2 3 4 5 * Respect of Peers 1 2 3 4 5 * Handling of Disappointment 1 2 3 4 5 * Commitment to tasks 1 2 3 4 5 * Confidence Level 1 2 3 4 5 * Respect of Rules 1 2 3 4 5 Reference Information Please provide your personal information in case we have further questions about the applicant * First Name * Last Name * Occupation * Email * Phone Number ( ) - * Address * City * Province * Postal Code
