BADEN-POWELL COUNCIL
Summer Camp Staff Reference Form
Baden-Powell Council
2150 NYS Route 12
Binghamton, NY 13901
Office Phone (607) 648-7888
Office Fax (607) 648-7895
www.bpcouncil.org
Camp Barton
Camp Tuscarora
____________________________________ (Please Print) is applying for a seasonal position with Baden-Powell Council,
where more than 100 staff members are employed each summer. This staff is responsible for hosting some 1,200 Scouts,
Leaders, Venture Crews and Advisors. The success of our operation depends upon its staff. Mature, competent, topflight
people are required to fulfill this important responsibility. We would greatly appreciate your evaluation of this applicant.
Please complete this form at earliest convenience and return to:
Program Director
C/O Camp Barton
Baden-Powell Council, BSA
2150 NYS Route 12
Binghamton, NY 13901
Program Director
C/O Camp Tuscarora
Baden-Powell Council, BSA
2150 NYS Route 12
Binghamton, NY 13901
Camp
Barton
Applicants
Camp
Tuscarora
Applicants
How long have you known the applicant? (Please circle or write the specific amount)
_____ Less than 1 year
____ 1-3 years
____ 4-6 years
____ 7-9 years
____ 10 or more years
Describe your relationship to the applicant?
______________________________________________________________________________________________
Please circle the phrase that best describes the applicant.
Dependability:
Exceptional
Usually Dependable
Requires supervision
Irresponsible
Leadership:
Inspirational
Able to Take Charge
Team Player
Incapable
Attitude:
Enthusiastic
Positive
Acceptable
Negative
Initiative:
Resourceful
Industrious
Intrinsically Driven
Indifferent
Integrity:
Always trustworthy
Generally reliable
Lacking
Can’t Be Trusted
Appearance:
Flawless
Well-Groomed
Generally Neat
Slovenly
Personality:
Positive / Energetic
Serious / Focused
Pleasing / Mild Mannered
Bland
In your estimation, what are this person’s greatest assets and/or abilities?
Please proceed to reverse side
In your estimation, what can this person improve upon?
Recommendation for Employment: (please check)
□ Highly recommend employment
□ Recommend employment
□ Do not recommend employment
In this space, please provide any additional comments to the previous assessment, and / or provide any additional
explanations in regards to the employment of the aforementioned applicant.
Print Name ______________________________________ Title/ Relationship ________________________________
Primary Phone: __________________________________
Email: __________________________________________
Signature ________________________________________ Date ________________________
The Baden Powell Council would like to thank you for your time, consideration, and appraisal of this individual. Please note that you
may be contacted for further clarification or inquiry in regards to the aforementioned applicant and their prospective employment at
either Camp Barton or Camp Tuscarora. Again, Thank You!!!