Junior Counselor Application Form - 2017 Page 7

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CONFIDENTIAL REFERENCE FOR JUNIOR COUNSELOR
Reference forms must be turned in at the same time as the application.
Application Due: February 10, 2017.
_________________________________________________________________________________________
(Name of Junior Counselor Applicant)
is under consideration for participation in a Junior Counselor program this summer at our resident camp. The
program offers girls opportunities to develop communication and leadership skills, to work with children in the out-
of-doors, and to acquire valuable on-the-job experience through a supervised apprenticeship.
For how long and in what relationship have you known the applicant?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please assess the candidate by checking one rating in each category:
Excellent
Very Good
Good
Fair
Poor
Don’t
Know
Appearance
Health
Poise and ease in meeting
people
Ability to deal with differences in
people
Ability to share ideas, feelings
and possessions
Ability to relate to adults
Ability to relate to peers
Ability to work with younger girls
Ability to take initiative
Ability to assume responsibility
Ability to be flexible and change
Ability to work in a group
Ability to work on her own
Ability to camp and live outdoors
JCApplication2017

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