Your Name*
Applicant's Name*
Relationship to Applicant*
How long have you known the applicant?*
To your knowledge, is the applicant a faithful, practicing Catholic? *
Yes No (please explain below) I have no knowledge.
(Note: being Catholic is not a requirement for Junior Staff)
If you answered no to the prior question, please explain.
Choose the number on the scale that best matches applicant:
When given a task, how motivated is the applicant?*
1 Puts in minimal effort, often finishes late, or doesn't finish 2 3 Completes the task by deadline, meets all expectations 4 5 Completes the task early, exceeds expectations
Choose the number on the scale that best matches applicant:
To what extent does the applicant work well on a team?*
1 Prefers to work alone, does not thrive with others 2 3 Works well on a team, gets along with others 4 5 Thrives in a team environment
Choose the number on the scale that best matches applicant:
How well does the applicant follow directions?*
1 Has significant difficulty following directions 2 3 Follows directions when possible, improvises as needed 4 5 Follows directions to a "T"
In your opinion, would the applicant be a good role model for high school students? *
Yes No
Please explain your answer to the prior question.*
Choose the number on the scale that best matches the applicant:
Put in a new or unfamiliar situation, to what extent is the applicant an introvert or extrovert? *
1 Completely introverted 2 3 Not strongly either 4 5 Completely extroverted
Would you describe the applicant as a creative person? Why or why not?*
Describe why the applicant would be a strong candidate for Pro-Life Boot Camp Jr. Staff. Is he/she passionate about pro-life, have strong leadership skills, hard worker, responsible individual, etc.?*