Prairie College Reference Form

Admissions Reference Form
Reference Type *

General Ministry
Applicant Name *

First Name Last Name
The person named above has applied for admission to Prairie. Each applicant for admission must submit a reference from a Christian adult, 21 years of age or older. Serious consideration is given to all references. Your prompt response is appreciated. The application cannot be processed until we receive this form. Thank-you.
Referee Information
Referee Name *

First Name Last Name
Referee E-mail *
Phone Number *

- Area Code Phone Number
Referee Position
Referee Church
Yes, I would like to receive occasional Prairie News email updates. Yes, I would like to receive a Prairie Information Packet
Applicant Reference
How long have you known the applicant? *
How well do you know the applicant? *
Is the applicant an active member of your church? *

Yes No Unsure
If "Yes" in what capacities?
Is the applicant living a consistent Christian life? *

Yes No Unsure
Please add any further comments that will help us in evaluating the applicant.
Do you feel the applicant will succeed in an intensive academic environment? *

Yes No Unsure
If "No" please explain?
What is your recommendation based upon?
Please comment on each of the following:
Applicant's Home Life: *
Work Ethic: *
Relationships: *
General Disposition: *
Teachability: *
Self-Image: *
Areas of Strength: *
Areas for Growth: *
Do you recommend that we accept this applicant? *

Definitely Unsure Not at this time
Additional Comments or Questions:
Should be Empty: