Dear Recommender, welcome to Re-Creation Unlimited.

You are most likely here because someone you know has requested that you fill out this form as a reference for them. We thank you for taking the time to do this.

This person has applied to Re-Creation Unlimited for summer service and training. Since applicants are required to have this form on file before their application can be considered, your prompt appraisal will be appreciated. Your candid, truthful answers enables our best equipping of the applicant for maximum success and personal development.

Or you can download a PDF of the application form and return via email to:

Please fill out the form below as accurately as possible.

Applicant Information
Please enter the person's name you are recommending.
Name *
Referer Information
Please enter your information below.
Name *
Address *
Phone *
Please rate the applicant in the following areas:
Self-direction *
Check all that are applicable
Flexibility *
Gives energy to fellow team members by *
Christian Influence *
Device addictions (e.g. phone, iPad, laptop)
Check all that apply. Does the applicant consistently use:
Cooperation *
Emotional Stability *
Integrity *
Motivation *
Consistent Energy Level *
Timeliness *
Neatness of their personal quarters *
Professional personal appearance *
Clarity of Thought *
Speech Diction *
Does the applicant use any of the following?
RECOMMENDATION: In consideration of the above evaluation, do you recommend this applicant? *

Re-Creation Unlimited, Inc.

560-A NE F Street
Grants Pass, OR 97526
(541) 979-7253


If you have any questions about your application please contact: