References Play Pause Unmute Mute References of Junior Counselor and Cabin Leader Applicants ReferencesAn applicant has referred you to complete a reference form for our Junior Counselor or Cabin Leader programs. Both programs offer an opportunity to help lead and support a camp specific to providing a genuine and free summer camp experience to children with cancer, child cancer survivors, or siblings to a child with cancer. Your answers will help us ensure a safe, supportive and meaningful experience for our campers.Select *programJunior Counselor (age 16-18)Cabin Leader (age 18+)Select which program you are completing a reference form for.First Name *JC/CL Applicant NameLast Name *JC/CL 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