Why are you referring this youth to attend Sojourners?

Please comment on the state of this child’s physical and emotional development relative to his/her age.

In what capacity to you work with this youth?

Are there behavioral patterns or problems about which Sojourners coordinators and camp staff should know? If so, please describe.

How does this young person respond to efforts by others to be of help?

What kind of supervision do you feel works best with this youth?
(Examples: gentle, decisive, strong, flexible, other supervisory approach)

Are there other at-risk behaviors displayed by this young person about which Sojourners coordinators and camp staff should be aware?
(Examples: use of alcohol/cigarettes/drugs, cutting, anger management problems, sexual acting-out, signs of depression suicidal thoughts, negative subculture, physical aggression, etc.).
These factors could disqualify this youth from Sojourners due to the remote location of camp.

Have there been any encounters with school or legal authorities (examples: suspension from school, police contact, etc.) about which Sojourners coordinators and camp should be aware?

What additional information about this camper should be known by Sojourner coordinators and camp staff as they prepare to meet this person’s needs?
Examples: favorites, fears, worries, family dynamics, personal hygiene, anxiety, etc.