Employer Reference Form

  • The above named individual has applied to become a camp counselor. Summer camp & child care is provided here for children ages 3-10 years old, licensed by Nassau County Dept of Health. (S)he has given your name as an EMPLOYEE reference. Please complete the following reference form and return it to this office at your earliest convenience by fax or mail.

  • Please rate the applicant on the following merits:
  • Should be Empty:
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