Serving Children with Diabetes for More than 60 Years
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Amazing Summer - Second Session
Employee Recommendation Form
Thank you for taking the time to fill out this personal recommendation form. Camp Sweeney is a camp intended specifically for children ages 5-18 with Type 1 diabetes. Designed as a behavioral modification program, Camp Sweeney helps young people avoid the long-term complications of diabetes by instilling in them the self-confidence and medical knowledge they need to live longer, healthier lives. Each year we make a concerted effort to hire individuals who have a strong desire to serve others and make a difference in the life of a child. With this in mind, please complete the following form to the best of your knowledge regarding the applicant. Please be as objective as possible. Your responses will not be shown to the applicant.
Name of applicant
Nature of Relationship with Applicant
Employer or Former Employer
How long have you known this person?
Tell Us About the Applicant's Traits
Please rate the applicant in the following categories on a scale of 1-5 (1=lowest, 5=highest). Select N/A if you are completely unsure or if you have no prior knowledge in a particular area.
Emotional Self Control
Gets Along with Others
Works Well with Children
Good Work Ethic
Additional comments about the applicant's personality.
Camp Sweeney's first priority is the safety and well-being of our campers and staff members.
To your knowledge, has the applicant ever been accused of physically, sexually, or emotionally abusing, molesting, or having otherwise inappropriate contact with a child or an adult ?
To your knowledge, has the applicant ever been convicted of a crime ?
Based on your knowledge of this applicant how would you recommend them for employment at Camp Sweeney?
Recommend with Reservations
Would Not Recommend
What specific reasons would you give for hiring or not hiring the applicant?
Information about person filling out this form.
Date Format: MM slash DD slash YYYY
I certify that the above statements are true to the best of my knowledge.
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