Max and Marion Caldwell FoundationReference Form This applicant has named you a person ready and willing to make an evaluation of his or her character and skills. Please complete this online form before November 15th for the Gold Arrow Camp, February 15th for the Kennolyn overnight camps or April 15th for the Kennolyn day camps. Thank you for your evaluation of the applicant. Please complete the following personal reference.Applicant/Campership Recipients Name* Your Name* Phone Number*Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company PositionCompanyHow long have you known the applicant?*What is your relationship with the applicant?*To the best of your ability, please give us your opinion of the applicant in the following areas by checking the appropriate rating. 1 is poor, 5 is excellent.Honesty*12345Leadership Skills*12345Willingness to Follow Rules*12345Responsibility*12345Relationships with Peer Group*12345In which settings have your observations been made? Check all that qualify* Social/Family setting Educational Work/Employment Sporting/Coaching I consider this person to have* A quick temper, easily irritated Good control of emotions When relating to adults, this person:* Has a dislike of authority and supervision Is always cooperative and deals well with authority Often questions authority but will follow through with assignments When I see this person around other children I notice that he/she is:* Very confident/easy going A little nervous but comfortable Very nervous and awkward We want camp to be a positive experience for this child, so your honest input is very important to us. (It is necessary that children can work together in groups and follow rules.)What are the camper's strengths?*What are the camper's challenges?*How do you feel a camp experience would help this applicant?*Is there anything else you can tell us that will help us make a decision about this applicant?*Signature Approval* By checking this box and typing my name below, I am electronically signing this form. Signature* * Indicates response required This iframe contains the logic required to handle Ajax powered Gravity Forms.