Reference - World Of Life Bible Institute Page 2
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2Please omit all questions in which you have not had the opportunity to observe the student. Check the box by the rating which indicates your
estimate. Additional remarks for fuller explanation are most helpful.
RATING
REMARKS
□
□ Very sensitive to others
□
□ Usually courteous
Tactfulness
□ Sometimes untactful
□
□ Insensitive to others
□
□
□ Well balanced
□
□ Unresponsive
Emotional Stability
□
□ High strung, but controlled
□
□ Excitable, easily upset
□ Inspiring leader
□
□ Occasionally takes leadership
□
Leadership
□ Able to lead, but not eager to lead
□
□
□ Follower, never a leader
□ Discerning
□
□ Good common sense
□
Judgment
□ Average
□
□ Lacks common sense
□
□ Excellent
□
□ Usually accepts
□
Sense of
□ Avoids when possible
□
Responsibility
□ Generally irresponsible
□
□
□ Well groomed
□
□ Neat, plain
Personal Appearance
□
□ Neglects fine detail
□
□ Careless
□ Very superior
□
□
□ Alert (above average)
Academic Ability
□
□ Average
□
□ Below average
Additional Comments:
Recommendation Concerning Acceptance
□ Highly Recommend
□ Recommend
□ Recommend with reservation
□ Prefer not to recommend
□ Please call to discuss
□
□
□
□
□
Name (please print):
Address:
N
C
S
/P
.
P
/Z
C
UMBER AND STREET OR ROUTE AND BOX
ITY
TATE
ROV
OSTAL
IP
ODE
Phone: (
)
Email:
□ I am an alumnus of Word of Life Bible Institute
□
Signature:
Date:
…
Mail or fax this completed reference directly to
New York and Florida Applicants:
Ontario Applicants:
Admissions Office
Admissions Office
Word of Life Bible Institute
Word of Life Bible Institute
PO Box 129
RR #8
Pottersville NY 12860-0129
Owen Sound ON N4K 5W4
Fax (518) 494-1534
Fax (519) 376-9893
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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