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HARBOR HILLS ONLINE REFERENCE FORM
75 Doby Road, Box 516 Mount Freedom, NJ 07970

This form should be completed by the applicant's teacher, professor, academic advisor, coach or past/present employer.

Thank you for taking the time to evaluate the applicant's qualifications for employment at
Harbor Hills Day Camp. Your recommendation will become a permanent part of his/her application.

 We would appreciate your cooperation in honestly sharing with us what knowledge you have
concerning this individual in regard to the following areas.

Applicant Name    

REFERENCE INFORMATION
COLLEGE/COMPANY/DEPT./SCHOOL:

 

PLEASE CHOOSE THE DEGRESS TO WHICH THE APPLICANT DEMONSTRATES THE FOLLOWING QUALITIES
1. DEMONSTRATES WILLINGNESS TO LEARN
2. ABILITY TO EXPRESS SELF
3. ABILITY TO ORGANIZE RESPONSIBILITIES AND TASKS
4. RELIABILTY AND PROMPTNESS IN HANDLING TASKS
5. PUNCTUALITY AND REGULARITY IN ATTENDANCE
6. ABILITY TO FUNCTION AS PART OF A TEAM
7. DEMONSTRATES LEADERSHIP SKILLS
8. DEGREE OF FLEXIBILITY AND ABILITY TO ADAPT
9. ABILITY TO ACCEPT EVALUATION OF PERFORMANCE
10. HANDLES STRESSFUL SITUATIONS SUCCESSFULLY
11. DEMONSTRATES UNDERSTANDING OF CHILDREN
12. DEMONSTRATES ENTHUSIASM AND CREATIVITY
13. DEMONSTRATES EFFICIENCY IN ROUTINE MATTERS
14. ABILITY TO RELATE AND GIVE GUIDANCE TO CHILDREN
15. EVIDENCES LOYALTY TO JOB AND ADMINISTRATORS
16. MAINTAINS CONFIDENTIALITY OF INFORMATION

 

HOW LONG HAVE YOU KNOWN THE APPLICANT?

 

MY CONTACT WITH THIS APPLICANT IS/WAS:

 

INFORMATION GIVEN ON THE APPLICANT IS BASED ON
(CHECK ALL ITEMS WHICH APPLY):

PERSONAL AQUAINTANCE CO-WORKER

WORKED UNDER MY SUPERVISION STUDENT WAS IN MY CLASS
OTHER

 

HAVE YOU OBSERVED THIS PERSON WORKING WITH CHILDREN?
YES NO
COMMENTS:

 

CHECK THE APPROPRIATE BLANK FOLLOWING EACH QUESTION AND WRITE IN AN EXPLANATION AS NEEDED.
A. DOES THE APPLICANT ACCEPT EXTRA DUTIES WILLINGLY?
B. IS THIS A PERSON YOU WOULD LIKE TO WORK WITH A CHILD TO WHOM YOU ARE VERY CLOSE?
C. WITH YOUR PRESENT KNOWLEDGE, WOULD YOU EMPLOY, OR
RE-EMPLOY THIS PERSON?
D. DOES THIS PERSON CONSISTENTLY DEMONSTRATE MATURITY?
E. DOES THIS PERSON CONSISTENTLY DEMONSTRATE PATIENCE?

 

PLEASE CHOOSE YOUR OVERALL RATING OF THIS APPLICATION BELOW:

 

ADDITIONAL
COMMENTS

 

By typing AGREE below and by electronic submission of this reference form

    I certify that all the statements and information on this form are accurate and complete.

* Please type "AGREE" here

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Harbor Hills Day Camp,  Box 516, 75 Doby Road, Mt. Freedom, NJ  07970
Tel: 973 I 895 I 3200    Fax: 973 I 895 I 7239   E -Mail : info@hhdc.com     
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