Please give the name, address, and phone number of the individual to whom you want us to send the character recommendation form to. The referring individual should be unrelated to you.
Name: ____________________ Title: _ _______________________________
Email address: _ _________ Preferred Phone number: _____________________
Relationship to you: _ __________________ (Pastor, teacher, coach, mentor etc.)
Acknowledgement of DOP Institute for Kingdom Living Responsibilities
I certify that all information requested on this application is correct, that the opinions supplied are mine, and that the DOP Admission Coordinator has my permission to contact the individual listed in the reference section for recommendation regarding my admission to the DOP Institute.
I willingly accept responsibility for conduct and work ethic while a student at the DOP Institute
Further, I agree, while enrolled at DOP Institute, to abide by all center policies, including, but not limited to, the examples which follow academic policies; spiritual integrity and financial responsibilities etc. I understand that if I do not abide by these responsibilities, expectations and policies, disciplinary action may result.
I agree to withdraw (in writing) my enrollment if I am unable to honor and abide by these responsibilities, expectations, and policies.
Signature: ________ ___________________Date: _____________________
Have the Leader email copy of reference to dopempowerment@gmail.com