Applicant Reference Form

Welcome to the Southampton Summer Day Camp Staff Reference form! You have been selected by an SSDC Staff Applicant as one of three references in support of this candidate who is applying to work at our camp. Since 1973, SSDC’s moto has been “The Perfect Place to Grow Up,” Your knowledge of this candidate is an essential part of our hiring process. Your candid and forthright responses to the following questions are much appreciated. Please consider this applicant in terms of his/her ability to work closely with children, families, and other staff members in a dynamic outdoor educational environment which is exciting and at times – challenging!

Thank you in advance for helping this applicant apply to work at Southampton Summer Day Camp!

Please Note: Given our state license requirements, in order for this reference to be valid, staff references must be completed by non-family members / non-relatives of this applicant. If you are a relative or family member of the applicant, please contact this applicant so that he/she may select a different referrer.

Also, this online reference form features a save and return later option. Be sure to click this link at the bottom of the page, if you wish to return to the form prior to submitting it. If you close or refresh the browser, or otherwise navigate away prior to saving or submitting the form, you will need to start from scratch.

Download our Applicant Reference Form as a PDF

Name of Applicant
First Last
is applying for a position on our summer staff. We would appreciate your cooperation in honestly sharing with us what knowledge you have concerning this individual in regard to the following areas.
Please mark with the appropriate number. 1=Above Average 2=Average 3=Below Average
Ability to work well with a team
Ability to maintain self-control under varying degrees of stress
Sense of responsibility to a task
Sense of responsibility to the people he/she serves
Sense of responsibility to his/her associates and supervisor
Ability to accept suggestions and constructive criticism
Effectiveness of the individual’s communication skills
Effectiveness of the individual’s leadership skills
Ability to relate to and work with children
Level of Maturity
Level of Dependability
Level of Initiative
Level of Patience
How long and under what circumstances have you known this individual?
What do you know about this person’s ability to work with children?
Please tell us about this applicant’s greatest strength and one weakness.
Is there anything else you would like us to know about this applicant?
Signature of Reference
Name of Company/Position
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Best Time to Reach You
Preferred Contact Method

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seeking talented &
compassionate staff

Southampton Summer Day Camp is always seeking that special individual who will impact a young person’s life in the most positive way. We are committed to hiring the most talented, dedicated, and responsible staff in camping.

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