Reference Form

Thank you for taking the time to fill out the form below.

The applicant has applied for a position as a staff member for the Teen Mission to Israel. The Teen Mission is a summer program for high school age children traveling throughout Israel. Your critical appraisal and confidential evaluation of this person will be of great help in selecting our staff.

It is important for the leaders of this trip to be of high ideals, possess integrity, get along well with others, and demonstrate a willingness to do more than their share.

We would appreciate your providing confidential information about the applicant. On a number of occasions we find it necessary to hire on the basis of information supplied by references and statements made by the applicant. Therefore, we hope you will be quite frank, candid, and objective so that we may avoid mistakes that could result in a serious inconvenience for us and perhaps termination for the employee.

Thank you for your response and assistance.

Your Name*
Your Email*
Your Phone*
Your School or Business*
Applicant's Name*
Applicant's Email*
How long have you known the applicant?*
In what capacity?*
Would you hire or rehire this person?*
- Yes
- No
If no, please explain.
Is this the type of person you would want as a counselor for a child of your own?*
- Yes
- No
If no, please explain.
Motivation*
Enthusiasm*
Loyalty*
Emotional Maturity (self-control)*
Social Acceptability (response from others)*
Tolerance*
Energy*
Responsibility*
Communication*
Social Attitude (concern for others)*
Humor*
Creativity*
Understanding of Children*
Leadership*
Ability to Accept Supervision and Guidance*
Appearance*
Summary*
What are the applicant's greatest weaknesses?*
What are the applicant's greatest strengths?*
Is there anything else we should know about this applicant?
Today's Date*

Reference Form

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