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 9 – Fri., June 28	2nd – 10th	$5350
4 Weeks	Mon., July 1 – Sat., July 27	3rd – 10th	$6575
Mini I	Mon., July 1 – Sat., July 13	2nd – 5th	$3900
Mini II	Mon., July 15 – Sat., July 27	2nd – 5th	$3900
2 Weeks	Mon., July 29 – Sat., August 10	1st – 7th	$3900
Father-Son	Fri., May 10 – Sun., May 12	K +	$650
Father-Son	Fri., May 17 – Sun., May 19	K +	$650
Family Camp	Fri,, Aug. 30 – Mon., Sept. 2		$950

Sessions	Dates	Grades	Rates
3 Weeks	6/9 – 6/28	2nd – 10th	$5350
4 Weeks	7/1 – 7/27	3rd – 10th	$6575
Mini I	7/1 -7/13	2nd – 5th	$3900
Mini II	7/15 – 7/27	2nd – 5th	$3900
2 Weeks	7/29 – 8/10	1st – 7th	$3900
Father-Son I	5/10 – 5/12	K +	$650
Father-Son II	5/17 – 5/19	K +	$650
Family Camp	8/30 – 9/2		$950