Reference Form- Girl Scouts NorCal Leadership Program

This individual has applied for the CIT (Counselor-in-Training) / WIT (Wrangler-in-Training) leadership program with Girl Scouts of Northern California at one of our summer camps. It is important that every camp member possess the highest respect and willingness to work with all children. Each camper in this program needs to exhibit a high level of maturity for a strenuous and primitive camp environment. Girl Scout camping is designed to provide an outdoor learning and fun experience for all girls in small living areas. We would appreciate your evaluation of this camper's qualifications for the program.


The purpose of camp is to provide a safe place where children can connect with positive role models, develop skills and self-respect, make new friends, and have fun. Our camp serve girls ages 5-17 in overnight and day camp programs.

If you have questions or concerns, please feel free to contact Alexandra Diaz, Outdoor Program Specialist at 1-408-287-4170 ext 4004 or

Yours In Camping,

The Outdoor Program Team

Please list the first and last name of the person who you are submitting a reference for here.

In what capacity do you know the applicant?

What strengths does the applicant possess in regards to the leadership program?

What characteristics does the applicant possess that would enable her to be a good role model to girls?

Describe the applicant's ability to work work cooperatively with others.

Given that all of us have areas in which we can improve, in what areas does the applicant exhibit weaknesses?

Would you leave your daughter in the care of this person?

Please assess the applicant in the following skill areas:

Please make any additional comments on the applicants abilities related to the position for which she/he has applied.

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