Reference Form - His Hill Bible School

Reference Form

His Hill Bible School
Your Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Home Address
Best Way to Contact You*
Name of Student Applying*

First NameLast Name
How long have you known the applicant?*
What is your relationship to the applicant?*
How well do you know the applicant?*
How long has the applicant been a Christian?*
Please check the areas of consistency in this applicant's Christian life:*
The applicant is mature enough to leave home and adjust to a college community.*
The applicant shows particular ability in:*
Ex. Music, serving, leading, etc.
Please rate the applicant regarding his/her participation in the activities and ministries of the church:*
I have no reservations concerning the applicants honesty and integrity.*
Please check any of the following that the applicant currently uses:*
Please check any of the following that the applicant currently struggles with:*
Self-Control*

1

2

3

4

5

1 is Very Little, 5 is Very Self-Controlled
Committed Believer*

1

2

3

4

5

1 is Uncommitted, 5 is Highly Committed
Diligent Student*

1

2

3

4

5

1 is Lazy, 5 is Industrious
Teachable*

1

2

3

4

5

1 is Unresponsive, 5 is Highly Responsive
Family Background*

1

2

3

4

5

1 is Poor, 5 is Superior
Personality*

1

2

3

4

5

1 is Withdrawn, 5 is Outgoing
Relationships*

1

2

3

4

5

1 is Abrasive, 5 is Congenial
Emotional Stability*

1

2

3

4

5

1 is Unstable, 5 is Stable
Initiative*

1

2

3

4

5

1 is Never Initiates, 5 is Takes Initiative Easily
Leadership*

1

2

3

4

5

1 is Never Leads, 5 is Leads Well
Disposition*

1

2

3

4

5

1 is Solemn, 5 is Cheerful
Dependability*

1

2

3

4

5

1 is Irresponsible, 5 is Highly Dependable
Judgment*

1

2

3

4

5

1 is Poor, 5 is Discerning
Submits to Authority*

1

2

3

4

5

1 is Disrespectful, 5 is Very Respectful
Personal Appearance and Grooming*

1

2

3

4

5

1 is Unkempt, 5 is Neat
I Recommend This Applicant*
Do you have any additional comments regarding the applicant?
Signature*
Date*

MonthDayYear
Date
All information submitted in this form is considered confidential and will only be discussed to assist the registration team in making an informed decision regarding the applicant's acceptance to His Hill Bible School.
Should be Empty: