Kedleston Gospel Camp Reference Form

*Denotes Required Field

* Your Name

Your Email

Your Phone # ( ) -

* Name of applicant

Relationship to applicant

* How long have you known the applicant?

* In what ways does this person display Christian character?

* Does the applicant appear to be growing in their Christian faith?

On a scale of 1-10, (poor to excellent) how well does the applicant interact with the following people:

* Peers/Coworkers

* Authority

* Siblings

* Parents/Guardians

* Pastor/Youth Pastor

* Children

If you answered 5 or lower to any of the above questions, please explain.

* Does the applicant have any outstanding abilities or characteristics, which you feel would be an asset to the ministry at Kedleston (e.g. music, drama, relational skills, etc.)?

* Does the applicant have any tendencies, which you feel might reduce their effectiveness at camp?

Please elaborate

Would you be comfortable having (your) children under the direct care of the applicant?

Please elaborate

Please describe the applicant the best of your abilities in these areas:

* Spiritual Life / Church Life

* Work Habits / Work Ethic

* Leadership Abilities

* Personality

* Do you recommend that we accept this applicant?

Please elaborate

Feel free to provide any additional comments you feel would be helpful as we consider this applicant:

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