Church-based Seminary

Student Reference Form

Name of person (First and Last) for whom you are providing a reference

Your name

Your email address

Your phone number

Phone

The name of your church, ministry or organization

Your role / position

How many years have you known the applicant?

Section 1: Observations

Select the best answer to the following questions based on your observation of the applicant

How well known?*

How well do you know the applicant?

Born Again?*

To the best of your knowledge, has the applicant been born again by faith in Jesus Christ?

Church Involvement*

What is the applicant's involvement in the activities and outreach at his/her church?

Section 2: Areas of gifting and service in ministry, based on your opinion or observation:

Put a check next to any of the areas of service in which the applicant has been regularly active at church:

What spiritual gifts and/or special abilities has the applicant demonstrated?

In comparison with others you have observed, how would you rate this person in the following areas?

Leadership*

Select the best answer.

Dependability*

Select the best answer.

Honesty*

Select the best answer.

Teachability*

Select the best answer.

Initiative*

Select the best answer.

Judgment*

Select the best answer.

Relationships with Others*

Select the best answer.

Loyalty to Church*

Select the best answer.

Knowledge of Scripture*

Select the best answer.

Comments regarding your recommendation

Are you supportive?*

The applicant was instructed to talk to you about his/her desire to attend our Church-based Seminary. Are you supportive of this desire?

Comments regarding your support for the applicant

Section 3: Please make any other comments that may be helpful to us:

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