Biola College 13800 BIOLA AVENUE
REFERENCE
PLEASE RETI.JRN FORM TO:
SCH OOLD EMPLOYER D ICHE CK APPROPRIATE SQUAREI
DEAN OF ADMISSIOr
LA MIRADA, CALIFORNIA 90639
Name of Applicant
FIRST NAME
MIDDLE NAME
LAST NAME
Applicant's Address
STREET ZIP TOTHE APPLICANT: Print your name and address on the lines above and give to your high school counselor, principal, or some other schobl administrator who qualif1·ed to give a reference for you. Transfers should submit form to a teacheror administrator in the college who knows the applicant. Those who have been out of schc foratl east one year andhave been working should submit this form to their employer. Applicant should provide a stamped envelope addressed to the Dean ofAdmissio for the person filing the reference. I wil lingly waive my right of access to see this recommendation knowing that this waiver is NOT required as a condition f, admiss1on. CITY STATE
Signature I. GENERAL EVALUATION In some cases write in brief comments; in others, encircle the best response.
1. How long have you known the applicant? In what relationship? 2. How well do you know the applicant?
Very well casually 3 . What is your opinion regarding the aptitude of the applicant for further academic work? Negative hesitant moderate strong highly enthusiastic well
no knowledge
4. Your opinion of the applicant's level of social readiness for college : Negative hesitant moderate strong
no knowledge
highly enthusiastic
5. Has the applicant ever used illegal drugs? 6. What goals does the applicant have? 7. Applicant's relationships with peer group: Applicant is: Sought out
rejected
admired but not sought out
tolerated
avoided
8. State your opinion of the student 's integrity:
9. How successful has the applicant been in school or work?
10. Describe briefly the applicant's health and physical vitality:
11. What are the applicant's strong points (include special abilities)?
12. What are the applicant's weaknesses or personality defects?
13. What is the applicant's attitude toward authority and his responsiveness toward instruction?
14. General comments :
(OVER)
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