Reference Request

An authorization for a reference request has been completed onsite by an applicant with your contact information. The authorization includes the following disclosure:
I hereby request and authorize you to furnish Benchmark/Camp Red Cedar with the information requested below regarding my employment, volunteering, or intern status with your company, and unconditionally release you, your company, or others from any liability or damage, which may result from furnishing this information.

–If you would like to request the original authorization please contact for more information–

Your name (First, Last)
This will be used to identify the reference request
(First, Last)

Please complete the following questions with an excellent, good, fair, or poor, based on the applicants performance