LOMO Reference Form

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LOMO Reference Form

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Dear Reference,

The individual who sent you this form has applied for a position with Lutheran Outdoor Ministries in Ohio (LOMO). Working at camp requires close and sometimes intense interaction with children, as well as adults and other staff. Your honest evaluation of the applicant's character and abilities is important. Your answers will remain confidential and will not be shared with the applicant. If you experience technical difficulties when attempting to submit this form, please email Corey Wagonfield at: cwagonfield@lomocamps.org

Applicant's Full Name: *

Camp Applying For: Camp Mowana Lutheran Memorial Camp Camp Luther

Position Applying For: Summer Staff Volunteer

Applicant's Characteristics - Please select the most appropriate response, as they relate to the applicant, for the fourteen character traits below.

Spiritual Maturity:

Positive Effect on Others:

Emotional Stability Under Stress:

Responsibility:

Communication Skills:

Emotional Maturity:

Creativity:

Church Involvement:

Sensitivity to the Feelings of Others:

Leadership Ability:

Cooperation and Teamwork:

Flexibility:

Energy & Enthusiasm:

Teachability:

How long and under what circumstances have you known the applicant?

Would you have any reservations about your child being in care of the applicant? If yes, explain.

What particular gifts or strengths do you see the applicant bringing to outdoor ministry?

To your knowledge, has the applicant ever been accused of child or sexual abuse?

Other comments regarding the applicant?

Your recommendation regarding the applicant: *

Reference's Information:

Your Full Name: *

Phone Number: *

Email: *

Thank you for taking time to complete this reference form! After you submit your form you will be re-directed to the LOMO homepage and a confirmation email will be sent to the email address you provided.

Digital Signature - By typing your full name and the date below you are providing us with a digital signature.

Full Name (Digital Signature): *

Date: *

Lutheran Outdoor Ministries in Ohio considers applicants for all positions without regard to race, color, sex, national origin, or non job-related disabilities. LOMO does, however, reserve the right to make employment decisions on the basis of an applicant's religious beliefs.

For information about our camps, visit us at: www.lomocamps.org