CONTACT US
EMPLOYMENT
FORMS
DIRECTIONS
NEW HAMPSHIRE
MAINE
YOUTH
Discovery Day
Summer Camps
Camper Discipleship Program
Simply Beautiful
Deep Freeze
ADULT & FAMILY
Mother Daughter
Father Son
Family Camps
Women’s Retreat
Man Camp
GUEST GROUPS
Rental Details
Facility Info – New Hampshire
Facility Info – Maine
Regional Events
Berea Regional Events
Discovery Day
Simply Beautiful: Teen Girls
Greenhouse Events
Overview
Lead Kids
Simply Worship
Lead Youth
Grassroots (Pastors)
About
About Berea
Berea Outfitters – Apparel Shop
NH Location Info
Directions – New Hampshire
Facility Info – New Hampshire
Maine Location Info
Directions – Maine
Facility Info – Maine
Our Team
Employment
PARTNER
Give Now
Partnership Overview
Volunteer
YOUTH
Discovery Day
Summer Camps
Camper Discipleship Program
Simply Beautiful
Deep Freeze
ADULT & FAMILY
Mother Daughter
Father Son
Family Camps
Women’s Retreat
Man Camp
GUEST GROUPS
Rental Details
Facility Info – New Hampshire
Facility Info – Maine
Regional Events
Berea Regional Events
Discovery Day
Simply Beautiful: Teen Girls
Greenhouse Events
Overview
Lead Kids
Simply Worship
Lead Youth
Grassroots (Pastors)
About
About Berea
Berea Outfitters – Apparel Shop
NH Location Info
Directions – New Hampshire
Facility Info – New Hampshire
Maine Location Info
Directions – Maine
Facility Info – Maine
Our Team
Employment
PARTNER
Give Now
Partnership Overview
Volunteer
Confidential Reference Form
Reference cannot be filled out by a relative or peer.
Applicant Information
Applicant
*
First
Last
Position
*
Volunteer
Camper Discipleship Program (CDP)
Cabin Leader
Summer Staff
Seasonal Staff
Full-Time Staff
How many years have you known the applicant?
*
What is your relationship to the applicant?
*
Pastor
Youth Pastor
Mentor/Small Group Leader
Employer
Supervisor
Coworker
Family Friend
On what basis do you know this person? (please check all that apply)
*
One-to-One
Small Group (1-29)
Medium Group (30-99)
Large Group (100+)
Mark the checkbox that best represents the applicant each category (1 = lowest, 10 = highest)
*
N/A
1
2
3
4
5
6
7
8
9
10
Quality of Work
Punctuality
Demeanor
Initiative
Leadership
Safety
Interpersonal Relationships
Follow Up
Teachability
Respects Leadership
Team Worker
Conflict Resolution
Capacity to Work with Youth/Children
Please check any traits below which characterize this person:
*
Easily Irritated
Fun
Intolerant
Argumentative
Humorous
Nervous
Responsible
Compassionate
Impatient
Easily Angered
Discouraged
Happy
Bull Headed
Pleasant
Easily Embarrassed
Depressed
Dishonest
Friendly
Moody
Complainer
Cooperative
Cannot take a Joke
Energetic
Conscientious
Patient
Committed
Influential
Creative
Always Asking "Why"
Sullen
Positive
Tense
Loving
Critical of Others
Legalistic
Frequently Worries
Intelligent
Giving
Caring
Prompt
Sensitive
Task-Oriented
Good Common Sense
People-Oriented
Please comment on the applicant's spiritual life:
*
Would you completely trust this individual to guide and care for your child in a one-on-one and group setting?
*
Yes
No
I would...
*
Strongly Recommend
Recommend
Recommend with Reservation
Not Recommend Hiring the Applicant
If "Not Recommended" please comment:
I expect the applicant's work to be...
*
Poor
Average
Good
Superior
Contact Information
Your Name
*
First
Last
Your Phone
*
Your Email
*
Your Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Email
This field is for validation purposes and should be left unchanged.