Reference Form If you are a reference for someone applying to work at Arlington Beach Camp in 2020, please fill out the form below. Name of Applicant* First Last Name of Reference* First Last Address of Reference* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Relationship to Applicant* I authorize the release of the disclosed information by the person completing this character reference form for the consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this reference. I understand that the information will be held in confidence by Arlington Beach Camp and will not be released to anyone (other than to employees, agents, representatives and/or professional advisors of Arlington Beach Camp), without the permission of the person giving such character reference, or in the absence of a Court Order, Subpoena or laws requiring the disclosure of such information. Checking the box below serves as your electronic signature and agreement to the waiver above. Signature Date* MM slash DD slash YYYY How long have you known the applicant?*Please list any prevalent personality weaknesses and strengths that you have observed?*Would you personally trust the applicant to be put in charge of children, or fragile individuals?*How does the applicant relate to others?*How have you experienced the applicant’s reaction to stressful situations?* Please indicate which statement best describes the applicant in relation to each characteristic listed below:Able to follow instructions* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE An able leader of others* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Enthusiastic* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Able to adjust to different/changing situations* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Inclined to criticize others* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Able to work without close supervision* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Ability to maintain a positive attitude* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Able to work in a team situation* MOST OF THE TIME SOME OF THE TIME NOT OFTEN HARDLY EVER HAVE NOT HAD THE OPPORTUNITY TO OBSERVE Please complete the following questions if you are a pastor, youth pastor or spiritual mentor to the applicant:Does the applicant appear to be growing in his/her spiritual walk? Please explain:Please describe the applicant’s involvement in Christian service if any.
