Personal Reference Form

Personal Reference Form

The individual who sent you this link is completing an application to attend Canadian Baptist Bible College. Please answer the following questions as accurately as possible to assist in the application process.
Date

MonthDayYear
Full Name of Applicant

First NameLast Name
Full Name of Reference

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Phone

Area CodePhone Number
1. How long have you known the applicant?
2. Relationship to the applicant:
3. To your knowledge, is the applicant a born-again Christian?
If yes, when?
4. Does the applicant's daily life give evidence of spiritual growth? Please comment.
5. To your knowledge, are the applicant's parent(s)/ guardian(s) born-again Christians?
If yes, when?
6. In what ways has the applicant been involved in church and/or youth activities?
7. Please describe the applicant's home-life
(Include information about the spiritual and moral leadership of the parent(s) relationships among family members and relationships of applicant to parents.)
8. With what kind of friends does the applicant associate?
9. How is the applicant influenced by his/her peers?
10. Please list any skills, talents, personality and character strengths you have observed.
11. Please note any personality or character weaknesses you have observed.
12. Have you had occasion to question the applicant’s morals?
If yes, please explain.
13. How does the applicant respond to authority and discipline at home, church and school?

14. Does the applicant participate in any of the following:

Rows	Habitual	Selective	None	Unknown
Use of Alcohol
Use of Tobacco
Use of Drugs (non-medicinal)
Pornography
Occult Activities

Comments on above
15. Do you see potential for future Christian ministry as:
16. Acceptance by Others
17. Attitude Toward Work
18. Attitude Toward Peers
19. Concern for Others
20. Emotional Stability
21. Industry
22. Integrity
23. Leadership
24. Motivation
25. Responsibility
26. Social Skills
27. Teachability
28. If accepted, in what areas might the applicant need help or guidance?
29. Do you recommend that we accept this applicant?
If other than yes, please explain:
30. Please provide any additional information that could help in the application process.
Signature
Should be Empty: