The Camp Koby Mandell Summer in Israel Experience

                                               Recommendation Form 2011

The person who has requested this recommendation from you has applied for The Camp Koby Summer in Israel Experience. 
This Summer program has a very strong leadership element, working with Israeli children who were affected by the loss of a loved one.
Since there is only a limited amount of information which can be received in an interview, it is crucial for
us to obtain as much information as possible about the applicant’s personality, motivation, creativity, social adjustment, and independence.

We appreciate your candor in addressing these issues, and we thank
you for helping us assess the applicant’s candidacy to our program.

We would prefer that this form is filled out online.
If you prefer you can
and send it by fax to (206) 350-7467 or mail to:
Rabbi Dovid Kupinsky
The Koby Mandell Foundation
366 Pearsall Avenue
SUITE 1
Cedarhurst, NY 11516
Tel:   (301) 576-6235
Fax:  (206) 350-7467
    dovid@kobymandell.org

 

 Please fill out all fields
Information about Person Completing this Form 
 First Name                                                          Last Name                                                       Title                                  Length of acquaintance with the applicant
          
Phone                                                  Occupation                                                            Email                                                                       Relationship to Camper
                        
Applicant's Information
Applicant's First Name                                    Applicant's Last Name
   
 Level of spoken Hebrew                               Level of religious observance
                                                 

 

Very much so

More than average

Average

Very little

Not at all

reliable

responsible

motivated

creative

conforms to rules and regulations 

ability to adapt

has leadership qualities

ability to interact with peers

tends to be a leader

appropriate to be a counselor in a co-ed environment

Additional Information
Please add any additional information you feel is relevant
         
Overall Recommendation 

Very Strongly Strongly Somewhat With Reservations  Not at All

I recommend this applicant for the Camp Koby Experience

When you are finished please click the SUBMIT button
THANK YOU
If you have trouble submitting please fax to (206) 350-7467