Trinity Graduate School Admissions Reference Form

Trinity Graduate Admissions Reference Form
Thank you for taking the time out to fill out this confidential reference form. Your honest evaluation is an important part of our application process as we carefully consider each candidate for admission.
Your Name

First NameLast Name
Applicant Name

First NameLast Name
Your Relationship to the Applicant (Select one):

Pastor/Church LeaderTeacher/Coach/Guidance Counselor/Mentor
Your place of employment:
Job Title:
Your phone number

Area CodePhone Number
Your email address
example@example.com
Knowledge of the Applicant
How long have you know the applicant?
How well do you know the applicant?

CasuallyFairly WellVery WellClose
Would you say the applicant's influence on others is

PositiveNeutralNegativeI don't know
Has the applicant used:

TobaccoAlcoholIllegal drugs or marijuanaNone of theseI don't know
Do you have any reason to question the applicant's morals?

YesNo
If yes, please explain.
Is the applicant prompt in paying debts?

YesNoI don't know
How often does the applicant attend church?

Weekly2-3 times a monthMonthlySeldomI don't know
To what extent does the applicant participate in church/school/community activities?

EnthusiasticallyCooperatively/WillinglySometimesRarelyNeverI don't know

Character and Ability Evaluation

In your opinion, does the applicant have the ability to succeed in graduate school?

YesNoI don't know
Additional comments and/or concerns, including positive and negative characteristics or other issues you have observed in the life of the applicant:
I certify that all of the information provided in this reference is true and accurate to the best of my knowledge.
Signature
Date

MonthDayYear
Date
Trinity Bible College and Graduate School is in compliance with all applicable federal regulations pertaining to non-discrimation on the basis of sex, race, color, national or ethnic origin, age, and disability in its recruitment, admission, education, financial aid, and employment policies and programs.
Should be Empty:

Trinity Graduate Admissions Reference Form