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Personal Reference
Prospective Student Information
Applicant's Name:
*
Referrer Information
First Name:
*
Last Name:
*
Position:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip Code:
*
Email Address:
*
Day Phone:
*
Regarding the Prospective Student
Please indicate how long and in what type of setting you have known the applicant:
*
Please rate the applicant for each of the following characteristics.
Potential for service and leadership:
*
- Select -
high
6
5
4
3
2
1
low
don't know
Character and emotional maturity:
*
- Select -
high
6
5
4
3
2
1
low
don't know
Ability to relate effectively to other persons:
*
- Select -
high
6
5
4
3
2
1
low
don't know
Capabilities of reasoning and reflection:
*
- Select -
high
6
5
4
3
2
1
low
don't know
Please describe the applicant's usual means of resolving conflict:
*
Please provide a brief statement of anything that might prove difficult for the applicant related to a degree program:
*
Overall recommendation of applicant:
*
- Select -
highly recommend
recommend
recommend with reservation
do not recommend
Additional comments that may be helpful to the admission committee:
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Source URL:
http://www.bethanyseminary.edu/admissions/apply/reference/personal