This reference form is not to be filled out in the presence of the applicant, or is it to be inspected by the applicant prior to being sent to us. The admissions committee of REACH CU will hold all information entered here in strict confidence.

Applicant Name *

Applicant Name

First Name

Last Name

Reference Notes

Please select an answer below based on a 1-5 scale, 1 being the lowest, and 5 being the highest. Please add any additional comments related to the rating, directly below it.

Self Motivation *

Notes

Intellectual Ability *

Notes

Attitude Toward Authority *

Notes

Works Well With Others *

Notes

Emotional Maturity *

Notes

Consecration and Commitment *

Notes

Work Ethic *

Notes

Soundness of Financial Responsibility *

Notes

Communication Skills *

Notes

Physical Health *

Notes

Recommendation

This school is founded with the intention of forwarding the gospel commission by the promotion of active urban ministry as well as personal ministries of the Seventh-day Adventist church. With this in mind, please mark one of the following: *

I do (without reservations) recommend this applicant.

I do (with reservations) recommend this applicant.

I do not recommend this applicant.

I do not know enough about this applicant to make a recommendation.

Contact Information

Your Name *

Your Name

First Name

Last Name

Reference Type *

Dean

Guidance Counselor

Pastor

Principal/School Administrator

Teacher

Work Supervisor

Other

Your Email *

Your Phone Number *

Your Phone Number

Country

(###)

###

####

Current Date

YYYY

Thank you for submitting this reference. We appreciate your time!

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Washington Adventist University, 7600 Flower Avenue, Takoma Park, MD, 20912, United States301-891-4078reachcolumbiaunion@gmail.com