GVRC Staff Reference Form

GVRC Applicant Reference Form

  • Applicant Information

  • Applicant Name * Required
  • Date Format: MM slash DD slash YYYY
  • Note to person completing this form: Genesee Valley Rotary Camp is a one week residential summer camp for children and young adults (ages 8-21) with disabilities. The applicant named above has submitted your name as a reference. In order for us to make a better determination of his/her ability to perform as a staff member at our camp, we need you to complete this form as accurately as possible based on your personal and/or professional knowledge of the applicant.
    Thank you for your cooperation.
  • How would you rate the applicant on these qualities?

  • Responsibility * Required
  • Initiative * Required
  • Creativity * Required
  • Leadership * Required
  • Maturity * Required
  • Work Ethic * Required
  • Energy/Enthusiasm * Required
  • Common Sense * Required
  • Your Information

  • Your Name * Required
  • Address * Required
  • Date Format: MM slash DD slash YYYY