Pathways Application Reference Form

Pathways Application Reference Form
An applicant has applied for admission to Pathways Powered by Rocky Mountain College and indicated you as a reference.

We will handle your recommendation seriously and with strict confidence. Please answer the following questions and ensure all required fields are completed before submitting your reference form by clicking the "Submit" button at the bottom of the form.
Applicant's Personal Information
Applicant's Name *

First Name Last Name
Applicant's Email
Reference's Personal information
Reference's Name *

First Name Last Name
Reference's Email *
Reference's Phone Number *

Area Code Phone Number
Relationship to Applicant *
Reference Form
Does the applicant profess to have a personal relationship with Jesus Christ?

Yes No Unsure
How would you evaluate the applicant's level of spiritual commitment? *

0/200
To what extent is the applicant engaged in church activities? *

0/200
Are you aware of any physical, mental or emotional issues that may affect the applicant's performance in an academic setting? *

0/200
Does the applicant struggle or need assistance in the areas such as: alcohol, tobacco, non-medical drugs, gambling, dishonesty, occult activity, inappropriate movies/videos and/or sexual immorality? *

0/200
Please list the applicant's strengths, as well as any special gifts or talents. *

0/200

Click to edit *

No Basis for Judgment

Poor

Below Average

Average

Above Average

Excellent

Academic ability

Motivation

Writing skills

Self-discipline

Independence

Creativity

Leadership

Self-confidence

Warmth of personality

Concern for others

Reaction to criticism

Reaction to setbacks

Respect for classmates

Respect for elders

Response to authority

Social readiness for college

Comments to above:

0/200
I certify that to the best of my knowledge all the information on this application is true.

Yes No
Summary and Recommendation:
1. Summarize and assess quality and promise as a college student, such as character, maturity, and personal values. Where does the applicant excel?

0/500

2. I recommend this applicant for admission to Rocky Mountain College: *

Not recommended

Without enthusiasm

Fairly Strongly

Strongly

Enthusiastically

For Academic Promise

For Character and Personal Promise

Overall Recommendation