High Rocks Reference Form

You can make a substantial contribution to our program by giving us an honest appraisal of the applicant. We ask that you consider not just the applicant's character and abilities in his/her relation to you, but how shehe might be able to transfer those qualities to a camp setting. Thank you for your time and thoughtfulness in completing this form.

Applicant's Name*
First Last
What is your relationship with the applicant?
How long have you known the applicant?
What words come to mind in describing the applicant in terms of:
Relations with Children:
Personal Character:
Work Performance:

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Please identify and explain 2-3 traits the applicant has that will make them a role model for boys ages 7-15.
What particular strengths do you feel the applicant could offer in a camp setting?
Is there anything we could help the applicant work on/improve in a camp setting?
Is this applicant a male or female?
- Male
- Female
Would you be willing to have your son under the responsibility and guidance of the applicant in a cabin setting?
In your opinion, does the applicant possess the maturity to work effectively at a boys' camp?

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Do you have any additional comments?
Your Name
First Last
Title
Phone
Your Email
Date
Date Format: MM slash DD slash YYYY
Thank you for your time and information.
If you feel like you need to contact us regarding this applicant, please email or call Woody Noland, Assistant Director. 828-885-2153 woody@highrocks.com
To prove you are a human, please follow the directions below.

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Camp High Rocks

North Carolina Summer Camp for Boys

Step 1 of 4

What words come to mind in describing the applicant in terms of:

Please recommend the applicant on the following criteria:

Thank you for your time and information.

Sessions	Dates	Grades	Rates
3 Weeks	Sun., June 7 – Fri., June 26	1st – 10th	$5575
4 Weeks	Mon., June 29 – Sat., July 25	3rd – 10th	$6850
Mini I	Mon., June 29 – Sat., July 11	2nd – 4th	$4075
Mini II	Mon., July 13 – Sat., July 25	2nd – 4th	$4075
2 Weeks	Mon., July 27 – Sat., August 8	1st – 7th	$4075
Father-Son	Fri., May 8 – Sun., May 10	K +	$700
Father-Son	Fri., May 15 – Sun., May 17	K +	$700

Sessions	Dates	Grades	Rates
3 Weeks	6/7 – 6/26	1st – 10th	$5575
4 Weeks	6/29 – 7/25	3rd – 10th	$6850
Mini I	6/29 -7/11	2nd – 4th	$4075
Mini II	7/13 – 7/25	2nd – 4th	$4075
2 Weeks	7/27 – 8/8	1st – 7th	$4075
Father-Son I	5/8 – 5/10	K +	$700
Father-Son II	5/15 – 5/17	K +	$700