Reference - World Of Life Bible Institute
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2Reference
Complete Section I and have your teacher, employer or a leader within the church you attend complete Section II. Whomever you choose
needs to know you well and must not be related to you.
I. To be completed by the Applicant (Please print or type)
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Year applied: ______
Term:
Campus:
Name of applicant: ___________________________________________________________________________________________
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Applicant’s address: _________________________________________________________________________________________
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UMBER AND STREET OR ROUTE AND BOX
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Phone number: _____________________________________ E-mail address: __________________________________________
I willingly waive my right of access to see this recommendation knowing that this waiver is not required as a condition for admission.
Applicant’s Signature: _____________________________________________
II. To be completed by the teacher, employer or church leader
As an authority figure in the above applicant’s life, your comments and recommendation are important to us; therefore, please provide your
complete and careful evaluation. You must know the applicant well and must not be related to the applicant to complete this form.
1. How long have you known the applicant and in what capacity?
2. How well do you know the applicant?
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3. Is the applicant:
Single
Engaged
Married
Widowed
Remarried
Separated
Divorced
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4. Is the applicant living a consistent Christian Life?
Yes
No
Unknown
5. What is the applicant’s relationship with their peer group?
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Sought out
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Accepted
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Tolerated
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Avoided
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6. How would you rate the applicant’s Christian testimony among his/her peers?
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Positive
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Neutral
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Negative
Comments:
7. How successful has the applicant been in school or work?
8. How would you rate the applicant’s attitude toward authority?
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Consistent with biblical teaching
Have not observed
Questionable*
Definite problem*
*Please explain:
9. What are the applicant’s strong points?
10. What areas need strengthening in the applicant’s life?
11. Give a brief summary of the applicant’s family background/home life:
12. Is the applicant’s family supportive of their decision to attend Word of Life Bible Institute?
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Yes
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No*
*Please explain:
Word of Life Bible Institute, PO Box 129, Pottersville, NY 12860-0129
Word of Life Bible Institute, RR#8, Owen Sound, ON N4K5W4 CANADA
~ 800-331-9673 ~ Fax: (518) 494-1534
~ 800-461-3503 ~ Fax: (519) 376-9893
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