Please print this form and distribute as needed

Mail To
Jeff & Lonnie Lorenz
25 Baybrook Ln
Oak Brook Il. 60523
630-654-8036

Reference for Counselor in Training-CIT

To be completed by applicant

I _____________________(applicant), Authorize _____________________(reference) to release information relevant to my potential acceptance at Swift Nature Camp as a CIT.

Camp Description
Swift Nature Camp is a traditional co-ed childrens summer camp that specializes in environmental education. Additional camp activities include boating, archery, campcraft, arts and crafts, riflery and sports. Counselors in training (CIT) assist Cabin staff in daily responsibilities with campers.
CIT candidates must:

  • Have a true ability and desire to work with children
  • Integrate and communicate positively and effectively with campers and staff
  • Accept responsibility for others and easily take direction from staff
  • Take initiative and serve as a role model to campers
  • Be patient, friendly, cooperative, enthusiastic, and approachable
  • Demonstrate maturity, responsibility and leadership qualities

 

Reference
Name________________________ Title_____________________Phone(____)_____________

Address______________________Town____________________State_________Zip_______

How long have you known applicant? __________ In what capacity?______________________

 

Personal Characteristics
Rate the candidate 1=Poor, 2=Average,3= Above Average. Please include additional comments

Essay Questions
Please answer the below questions in detail with examples.

 

1)What experience has the candidate had working with children?

 

 

2) Detail the experiences have you had with the candidate that show their maturity?

 

 

3) How does the candidate respond to authority?

 

 

4) What characteristics do you believe this candidate has that would make them a great CIT?

 

 

5) Would you like to tell us anything else about the canidate?

 

 

Thank You for your time

May we call you for further information? ___Yes ___No

Phone #_______________ Best Time to Call_____________

Signature___________________________________
All information is true and accurate to the best of my ability