References Play Pause Unmute Mute References of Junior Counselor Applicants ReferencesAn applicant has designated you as a reference for our Junior Counselor (JC) Program at Camp Courage. Camp Courage is a free summer camp that provides cancer patients, survivors, and their siblings an opportunity to spend time outdoors in a stress-free environment. The JC Program offers teens ages 16-18 an opportunity to work with children who have faced challenges of childhood cancer, develop leadership and responsibility, as well as teach effective communication and problem-solving skills. Please complete this form to the best of your ability. Your answers will help us ensure a safe, supportive, and meaningful experience for our campers.First Name *JC Applicant NameLast Name *JC Applicant NameFirst Name *Reference NameLast Name *Reference NameEmail Address *Reference EmailPhone *Reference NumberHow long have you known the applicant? *Relationship to applicantPlease rate the applicant in the following areas:Sense of Responsibility and Dependability *SelectExcellentGoodFairPoorUnable to answerMaturity and Judgement *SelectExcellentGoodFairPoorUnable to answerAbility to follow rules and accept feedback *SelectExcellentGoodFairPoorUnable to answerAbility to work effectively as part of a team *SelectExcellentGoodFairPoorUnable to answerAbility to be sensitive to diversity *SelectExcellentGoodFairPoorUnable to answerCommunication skills with peers and supervisors *SelectExcellentGoodFairPoorUnable to answerAbility to empathize *SelectExcellentGoodFairPoorUnable to answerAbility to interact positively with children *SelectExcellentGoodFairPoorUnable to answerAbility to navigate through and manage stressful situations *SelectExcellentGoodFairPoorUnable to answerOverall trustworthiness in an outdoor camp environment *SelectExcellentGoodFairPoorUnable to answerPlease describe the applicant's greatest strength's for this role: *In what areas might the applicant benefit from additional support or supervision from our staff? *Any additional comments about this applicantToday's Date *Signature *Start signing your signature hereYour browser does not support e-Signature field.Send Message