Reference Form (Personal) Thank you for your willingness to provide a Reference for one of our Applicants to Colorado Biblical University. Please complete this "digital" Form, designed to be accomplished in one sitting, and SUBMITted. We look forward to getting your input. To be completed by a "personal friend" who has known the applicant for at least 1 year. Colorado Biblical University admits learners of any race, sex, age, color, nationality, and ethnic origin to all the rights, privileges, programs, and activities accorded or made available to students at this college. This college does not discriminate on the basis of race, sex, age, color, national and ethnic origin in administration of its educational policies, admissions policies, and other college-administered programs. (req.) = REQUIRED fields... YOUR CONTACT INFO Your First and Last Name (req.) Your Phone # (mobile) (req.) Email (req.) APPLICANT'S NAME Learner's First and Last Name (req.) THANK YOU for supporting this applicant by filling out this reference! Your answers are an important part of our decision-making process, so we appreciate your careful, thoughtful, and honest evaluation. Please give specific support or explanation and do not answer questions you have not observed. Additional comments are appreciated and may be attached as a document in the SUPPORTING DOCUMENTS field below, or in an email sent to "Admissions". 1. Is the applicant involved in the local church? Explain in 90-characters. 2. How long have you known the applicant and in what type of relationship? (req.) (90-characters) 3. Please explain any problems or issues we should be informed about concerning the applicant (morality, integrity, discipline, or behavior). (250-characters) 4. How would you evaluate the relationship between the applicant and his/her family, parents, or guardians? (req.) (250-characters) 5. What is the applicant's attitude toward authority and instructions? (req.) (250-characters) 6. How does the applicant's life show he/she desires to serve God in whatever vocational field God directs him? (250-characters) 7. Why do you think the applicant wants to come to our institution? (req.) (req.) (250-characters) HOW WOULD YOU RATE THE APPLICANT'S READINESS On a scale of 1-10, 1 is not ready to attend university and 10 is highly likely to thrive and contribute positively to our academic environment. 8. Academic Readiness: (req.) 12345678910 9. Spiritual Readiness: 012345678910 10. Social Readiness: (req.) 12345678910 11. Emotional Readiness: (req.) 12345678910 12. Handles Conflict Well: (req.) 12345678910 A SCALE of 1-10, rate the applicant's success in the following areas? On a scale of 1-10, 1 is rarely successful and 10 is consistently successful. 13. Is Concerned for Others: (req.) 12345678910 14. Contributes Positively to a Group: (req.) 12345678910 15. Sees Both Positive and Negative Aspects of Situations: (req.) 12345678910 16. Picks Up on Basic Social Cues: (req.) 12345678910 17. Interacts Well With a Variety of Personalities, Ethnicities, and Ages: (req.) 12345678910 18. Appropriate Hygiene/Personal Appearance: (req.) 12345678910 PLEASE SELECT the best answer for each category below: 19. CHURCH INVOLVEMENT: —Please choose an option—Do not knowAttendance is inconsistentAttends, but is not active in ministryHighly active in attendance and ministryLeader's support preparation for ministry 20. EMOTIONAL QUALITIES: (req.) —Please choose an option—Do not knowExcitable or overly emotional at timesFrequently upset by minor circumstancesFrequently seem tense and anxiousApathetic, or unresponsiveConsistently well-balanced emotionsHandles stressful situations with poise 21. SPIRITUAL LIFE: —Please choose an option—Do not knowNo interest in spiritual growthSmall evidence of spiritual growthShows growth and separated livingDeeply spiritual 22. RELATIONSHIPS: (req.) (free to make multiple choices by holding down the ConTRoL key) Do not knowInsensitive or intolerant of othersInappropriate at times in mixed settingsHas difficulty making or keeping friendsHas a few close friendsSensitive to the feelings of othersEnjoys many positive relationships 23. TEACHABILITY: (req.) (free to make multiple choices by holding down the ConTRoL key) Do not knowRigid and opinionatedTends to be argumentativeAble to discuss views without defensivenessIncredibly open to instruction and new insights 24. PURPOSEFULNESS: (req.) —Please choose an option—Do not knowAimless triflerVacillating in purposeAverageSelf-directed 25. TEAMWORK: (req.) (free to make multiple choices by holding down the ConTRoL key) Do not knowFrequently causes frictionPrefers to work aloneUsually cooperativeAble to work with those who are differentHighly effective team player 26. INFLUENCE: (req.) (free to make multiple choices by holding down the ConTRoL key) Do not knowDetrimental influence on othersPassive, no positive influenceUsually good influenceConsistently a wholesome influence 27. LEADERSHIP: (req.) —Please choose an option—Do not knowAlways a followerTries, but usually fails at leadershipAssumes occasional leadershipGood leadershipInspiring and successful leader 28. RESPONSIBILITY: (req.) —Please choose an option—Do not knowIrresponsibleShows some dependabilityUsually reliableCapable of much responsibility SUPPORTING DOCUMENTS Please add any supporting documents here (each file limited to 2mb: YOUR RECOMMENDATION Would you recommend we accept this applicant? (req.) —Please choose an option—Whole-heartedlyRecommendWith reservationsDo NOT recommend Further explanation, if necessary: YOUR PERSONAL INTEREST Are you interested in receiving further information about Colorado Biblical University? (req.) YesNo, thanks Δ