Student Reference Form (HUP)

Student Reference Form

Homeschool Umbrella Program
This form is to be completed by applicant's references only.

For each student applicant at Family Christian Academy, we request 2 references from non-family member adults who can speak to the applicant’s faith and character. We encourage student applicants to seek a reference from his/her pastor.
Student Application Information
Applicants Full Name*

First NameLast Name
Entering Grade*
School Year*
Student Reference
Name of Reference*

First NameLast Name
Relationship to Student Applicant*
Primary Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How many years have you known the student applicant?*
In what context have you known the applicant?*
To the best of your knowledge, has the applicant accepted Jesus Christ as Savior?*
Would you recommend this student to Family Christian Academy? Please explain why or why not.*
Is there any other information you would like to share in recommendation of this student applicant?
To the best of your ability, please evaluate the applicant according to his/her:
Christian Character:*

ExcellentGoodPoorUnknown
Ability to get a long with others:*

ExcellentGoodPoorUnknown
Dependability:*

ExcellentGoodPoorUnknown
Integrity:*

ExcellentGoodPoorUnknown
Should be Empty:

Student Reference Form