Admissions Reference Form

First Name: (required)

Last Name: (required)

Phone Number:

First Name of Applicant: (required)

Last Name of Applicant: (required)

How long have you known the applicant? (required)

In what context / relationship do you know the applicant?

In the drop-downs below, which phrase best describes the applicant?

Desire to Learn
—Please choose an option—Strong determinationPositive attitudeNeeds encouragementShows little interestNo opportunity to observe

Leadership
—Please choose an option—Excellent leadership initiativeGood organizerLeads when askedMakes little effort to leadNo opportunity to observe

Cooperation
—Please choose an option—Works well with othersUsually cooperativeAvoids group activitiesCauses frictionNo opportunity to observe

Respect for Authority
—Please choose an option—Respects those in authorityGenerally respectfulCritical of authorityDisrespectfulNo opportunity to observe

Concern for Others
—Please choose an option—Unselfish caringConsiderateIndifferentSelf-centeredNo opportunity to observe

Acceptance by Peers
—Please choose an option—Well liked, sought by othersWell acceptedToleratedNot acceptedNo opportunity to observe

Emotional Stability
—Please choose an option—Consistently stableUsually well adjustedSometimes unstableUnbalanced, unstable, emotionalNo opportunity to observe

Energy and Initiative
—Please choose an option—Seeks additional tasksDoes more than expectedDoes assigned tasksNeeds proddingNo opportunity to observe

Spiritual Motivation / Energy
—Please choose an option—High moral & spiritual valuesConsistent moral standardsInconsistent attitudes & practiceNot aware of spiritual beliefsNo opportunity to observe

Does the applicant possess any special interests or abilities?

Does the applicant have significant limitations that would hinder college study?

Please enter any additional comments you would like to make below:

Do you recommend the applicant be accepted for admission to Alaska Christian College?
I recommendI do not recommendI recommend with the following reservations

Please sign and date below

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