BIOLA UNIVERSITY
• • • • • • • • • • • Office of Admissions 13800 Biola Ave La Mirada, CA 90639-0001 (310) 903-4752 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 administrator 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. If you 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 addressed to Bio/a 's Office ofAdmissions.
1willingly waive my righr of access ro see rhis recommendation knowing rhar this waiver is NOT required as a condition for admission.
S,g,wrurt'
Name of applicant
Midd/L naml!'
First name
Last,r,unt
Applicant's address ----------------------------------------------- Street City St.ate Zip
1. How long have you known rhc applicant and what is your relationship to him/ her? _______________________
2. How well do you know the applicant' cc;,d, oac.)
Casually
Very well
Well
3. What is your opinion regarding the aptitude of the applicant for further academic work' (G,d,oac.)
No Knowledge
Negative
Hesitant
Strong
Highly Enthusiastic
Moderate
4. What is your opinion of rhe applicant 's level of social readiness for college' cc,,c1, oo,.>
Negative
No Knowledge
Hesitant
Strong
Highly Enthusiastic
Moderate
5. Do you feel the applicant has leadership ability' Describe.
6. Whar goals does the applicant have?----------------------------------------
7. What is rhe applicant's relationship with his/ her peer group' Applicant is: cc;,dcoad
Rejected
Tolerated
Avoided
Sought Out
Admired bur not sought out
8. Does the applicant have a good self image? Describe. ---------------------------------
9. How successful has the applicant been in school orwork?--------------------------------
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