Biola_Catalog_19900101NA

BIOLA UNIVERSITY Director of Admissions 13800 Biola Ave La Mirada, CA 90039

Professional Reference

School D

Employer D

(Check appropriate square.)

To the Applicant: Print your name and address on the lines provided below, and give this form to your high school counselor, principal or another school adminis­ trator who is qualified to give a reference for you. If you are a transfer, submit this form to a teacher or administrator in your college who knows you. Ifyou have been out ofschool for at least one year and have been working, submit this form to your employer. You should provide your reference with a stamped envelope ad­ dressed to Biola 's director ofadmissions.

I willingly waive my right of access to see this recommendation knowing that this waiver is NOT required as a condition for admission.

Signa ture ----------------------------------------------------

Name of applicant ----------------------------------------------- Last name First name Middle name

Applicant's address ----------------------------------------------- Street City State Zip

1. How long have you known the applicant and what is your relationship to him/her?_______________________

2. How well do you know the applicant? (Ci ,cieone.)

very well

well

casually

3. What is your opinion regarding the aptitude of the applicant for further academic work? (Ci,cle one.)

negative

hesitant

moderate

strong

highly enthusiastic

no knowledge

4. What is your opinion of the applicant's level of social read iness for college? (Ci ,cle one.)

negative

hesitant

moderate

strong

no knowledge

highly enthusiastic

5. Do you feel the applicant has leadership ability? Describe.--------------------------------

6. What goals does the applicant have?________________________________________

7. What is the applicant's relationship with his/her peer group? Applicant is: (Ciccleone.)

rejected

sought out

admired but not sought out

tolerated

avoided

8. Does the applicant have a good self image? Describe.__________________________________

9. How successful has the applicant been in school or work?--------------------------------

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