Please Note a Signature Is Not Required If Submitted by Email

Reference Form for Essex Scouts Unit Participants

CONFIDENTIAL

About the applicant

Name of Date of applicant:: birth:

Address:

Your reference Please confirm their current Scouting Current Scouting membership membership Membership: ☐Scout (please tick ☐ How long have you Explorer Scout all that apply) known the applicant? ☐Young Leader

District: Scout In what capacity? Group/Explorer Scout Unit: Are you aware of any reason the If you have answered yes we applicant should not be considered Yes ☐ No ☐ will contact you in for the World Scout Jamboree? confidence.

Please rate the applicant on the following: (please tick one per quality)

1. Ability to work and participate in a team Poor ☐ Average ☐ Good ☐ Very Good ☐

2. Leadership qualities/skills Poor ☐ Average ☐ Good ☐ Very Good ☐ 3. Practical Scouting skills Poor ☐ Average ☐ Good ☐ Very Good ☐ 4. Commitment to Scouting Poor ☐ Average ☐ Good ☐ Very Good ☐ 5. Responsibility for themselves Poor ☐ Average ☐ Good ☐ Very Good ☐ Name: Signature:

Email: Phone:

Date: This can be found on your Your Scout membership number: appointment card. In your opinion, what makes this applicant a suitable candidate to join the Essex Contingent to participate in the World Scout Jamboree? Please comment on the following points:  Interest in international Scouting  Ability to work in a team  Commitment to Scouting  Level of experience – the young people will camp for a minimum of 10 days during the experience and will cook for themselves  Commitment to the jamboree experience and training events  Ability to take responsibility for self  The impact the Jamboree will have on the young person  If the young person is likely to be able to cope with 3 weeks away within the jamboree and home hospitality environment, having been through any organised Unit training beforehand

Thank you for taking the time to complete this reference form. It is appreciated and we would like to confirm that your comments will be taken into consideration.

Please return the form direct to your designated District contact not via the YP. Details are available on the County web site International page. If in doubt please refer to your DC in the first instance.

Please note a signature is not required if submitted by email.