Name of Applicant:

The Individual above is applying for a position at Elmwood Day Camp as a counselor. Your completion of this form will assist us in asessing the individual's personality and other skills as they would relate to such a position.

Elmwood is a private day camp with children ranging in age from 3-11. Our camper population comes from Westchester County and New York City. We are committed to a high quality program in a safe, secure and caring environment.

The Elmwood counselor is faced with a very demanding and often difficult job. The camp runs from 8:30am until 4:15pm and is filled with ten activity periods. Counselors are expected to care for each child in their group and participate and lead activities. Our staff members are expected to give 100% effort towards the needs of the camp program and the campers.

Our staff members are treated with the utmost respect and are given a sense of their significance in the overall success of the camp. Our program is oriented towards their growth and satisfaction. They can be expected to learn a great deal from being a counselor at Elmwood.

Please complete the form in its entirety and click SUBMIT once when finished.

Thank you very much for you assistance.

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Your Name:

Relationship to applicant:

How long have you known him/her:

Please indicate the appropriate rating for the following areas:

From your knowledge, how well does he/she relate to children:

Would you want this person to be your child's counselor? Why or why not?

Please share with us anything about this person that will assist us in our hiring decision.

To your knowledge, has the applicant suffered any significant physical or nervous difficulties which would interfere with his/her work with children?

To your knowledge, has the applicant ever exhibited abusive or sexual improper tendencies towards others or has he/she ever been convicted of a felony or misdemenour?

Your telephone number: (For verification purposes)

Best time to Call: