The student named above made application for a scholarship from available funds through the Christian Church of Mid-America (Disciples of Christ) and has requested that you be a reference.
Please complete the following checklists identifying potential for ministry, general character, academic ability, and relational skills. We realize that there are some sections you may not be able to complete. Use the last sheet for additional comments you wish to make.
PLEASE RETURN THIS FORM DEADLINE FOR RECEIPT IS May 31, at midnight.