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Personal Reference Form

THE PERSONAL REFERENCE FORM is to be completed by someone well acquainted with the applicant who is neither his/her pastor, nor a relative.

Please help us in answering the following questions with the utmost frankness. This information will be used in helping us decide whether or not the applicant will satisfactorily fit into our educational program. All information given will be held in strictest confidence.

THE APPLICANT

Student Name*

Answer required for "Student Name"

How well do you know the applicant?*

Answer required for "How well do you know the applicant?"

Slightly

Casually

Well

Very well

What do you know about the applicant’s Christian experience? (Include his salvation experience and spiritual growth)*

Answer required for "What do you know about the applicant’s Christian experience? (Include his salvation experience and spiritual growth)"

What discipline problems if any, have you observed between the applicant and authority figures?*

Answer required for "What discipline problems if any, have you observed between the applicant and authority figures?"

What discipline problems if any, have you observed between the applicant and peers?*

Answer required for "What discipline problems if any, have you observed between the applicant and peers?"

What is the student’s attitude toward his/her parents?*

Answer required for "What is the student’s attitude toward his/her parents?"

APPLICANT'S PARENTS

How well do you know the applicant's parents?*

Answer required for "How well do you know the applicant's parents?"

Describe the parents' Christian testimony*

Answer required for "Describe the parents' Christian testimony"

How are the parents involved in the local church?*

Answer required for "How are the parents involved in the local church?"

In your opinion, is the family life of this family consistent with Biblical principles? If not, please explain*

Answer required for "In your opinion, is the family life of this family consistent with Biblical principles? If not, please explain"

Are the parents' members of the local church?*

Answer required for "Are the parents' members of the local church?"

Yes

6. In your opinion, are the parents sufficiently grounded in the Word of God to handle the challenges of Christian education and supporting the biblical principles of this Christian school?*

Answer required for "6.\tIn your opinion, are the parents sufficiently grounded in the Word of God to handle the challenges of Christian education and supporting the biblical principles of this Christian school?"

Yes

COMMENTS:*

Answer required for "COMMENTS:"

Signature*

Answer required for "Signature"

Relationship to applicant*

Answer required for "Relationship to applicant"

Confirmation Email

Answer required for "Confirmation Email"