Church Leader Reference

You've been asked to provide a reference for admission to Emmaus University. Applicants must be capable of studying at the university level and living in community according to Christian standards and have a strong desire to serve others. Please be frank and fair in your assessment of the applicant’s suitability for Bible university. Emmaus requires that this reference be submitted by a leader of the applicant's local church (elder, youth leader, pastor, Sunday School teacher, etc.). It cannot be completed by a member of the family.

Your Information

Name

Name of Church

Your Title

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Applicant Information

Applicant Name

How long have you known the applicant and what is your relationship?

Do you believe the applicant is a Christian?

Yes

How would you describe the applicant's involvement in church life?

Active

Average

Passive

Unknown

How would you describe the applicant's involvement in school life?

Active

Average

Passive

Unknown

Describe any strengths or weaknesses in the applicant's character as you perceive them.

Please answer the following set of questions.

Questions	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s interest in education?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s personal maturity?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s ability to cooperate?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s ability in leadership?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s record in reliability?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s motivation?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s emotional stability?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s concern for others?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s academic ability?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s social interaction?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s respect for authority?	Below Average	Average	Above Average	Not Observed
How would you rate the applicant’s ability to communicate?	Below Average	Average	Above Average	Not Observed

Would you like us to contact you further to discuss this applicant?

Yes

Contact me if you wish

Do you have further comments that would help us evaluate this student's application?

NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS
Emmaus University admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs.

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