Academic Reference
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Applicant's first name
Applicant's middle name
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Applicant's last name
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Applicant's city
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Applicant's state
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Applicant's high school
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How long and in what capacity have you known the applicant?
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How well do you know the applicant? Very well Fairly well Casually Just by name / sight
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Please rate the applicant in the following areas:
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Initiative / Motivation Excellent Above average Average Below average Poor Unknown
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Leadership Ability Excellent Above average Average Below average Poor Unknown
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Concern for others Excellent Above average Average Below average Poor Unknown
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Completes assignments Excellent Above average Average Below average Poor Unknown
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How well do you know the applicant? Very well Fairly well Casually Just by name / sight
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How long and in what capacity have you known the applicant?
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Moral Character Excellent Above average Average Below average Poor Unknown
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Dependability / Reliability Excellent Above average Average Below average Poor Unknown
Positive outlook on life Excellent Above average Average Below average Poor Unknown
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Anticipated academic achievement Excellent Above average Average Below average Poor Unknown
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What are this student's strengths and special abilities?
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Do you know of any areas where the applicant might need special attention?
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Northwestern College seeks students who live out their Christian faith and desire instruction within a biblical worldview. To your knowledge, would the desires, beliefs and conduct of this applicant be in line with this goal?
If no, please explain.
What else would you like us to know about this person?
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Recommendation for study at Northwestern College: Highly recommend Recommend Recommend with reservations Would not recommend
Comments
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I would like to speak with someone regarding this applicant: Yes No Call me if you wish
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Would you like to receive a packet of Northwestern College literature for future reference? Yes No
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Would you like someone to speak to students about preparing for college? Yes No
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Reference's name
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Title
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School
Address
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City
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State
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Zip
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Phone
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E-mail address
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I certify that the information I have provided is true and complete. I also certify that I am indeed the reference identified above and the sole author of all information provided.
