PERSONAL REFERENCE The online Personal Reference Form takes about 30 minutes to fill out and should be completed by someone who knows the applicant well, such as an employer, teacher, or friend. REFERENCE INFORMATION * = Required Field *Applicant Name: *Your Name: *Mailing Address: *Primary Phone: *Email Address: Facebook: *Relationship to Applicant: *How well do you know the applicant?Very WellWellCasual *How long have you known the applicant?Less than a Year1-3 YearsMore than 3 Years *How well are you aquatinted with the applicant's religious/spiritual life?Very WellWellCasual APPLICANT INFORMATION *Do you believe the applicant is genuinely converted?YesNo *What best describes the applicant's conversion?MatureGenuine and GrowingEmotionalSuperficial *Briefly describe the applicant's involvement in church ministry? *With reference to their Church Ministry, the applicant is: DedicatedAverageCasualPoorI'm Unfamiliar *Does the applicant display moral standards in line with their profession of faith? YesNo *Evaluate the applicant's character in the following areas: 1. Exercises discretion in relationships: Strongly AgreeAgreeDisagreeStrongly Disagree 2. Financially responsible: Strongly AgreeAgreeDisagreeStrongly Disagree 3. Dependable: Strongly AgreeAgreeDisagreeStrongly Disagree 4. Exhibits academic abilities: Strongly AgreeAgreeDisagreeStrongly Disagree 5. Works well with others: Strongly AgreeAgreeDisagreeStrongly Disagree 6. Capable of leading others: Strongly AgreeAgreeDisagreeStrongly Disagree 7. Cares about cleanliness and hygiene: Strongly AgreeAgreeDisagreeStrongly Disagree 8. Considers and prefers others: Strongly AgreeAgreeDisagreeStrongly Disagree 9. Respectfully submits to authorities: Strongly AgreeAgreeDisagreeStrongly Disagree 10. Self-Disciplined: Strongly AgreeAgreeDisagreeStrongly Disagree 11. Demonstrates a positive self-image: Strongly AgreeAgreeDisagreeStrongly Disagree *Overall, what do you consider the applicant's strong points? (Include any special abilities) *What could Alaska Bible Institute do to aid the applicant's personal development? *Briefly describe any physical and learning limitations the applicant may have or simply say 'None': *To the best of your knowledge does the applicant: SmokeDrinkUse MarijuanaUse Illegal DrugsNo Drug Use *To the best of your knowledge has the applicant ever had psychiatric treatment or any mental or emotional issues? NoYes, briefly explain reason: *Does the applicant have personality traits that may impair his/her relationship with others? NoYes, briefly explain: *Briefly describe the nature of the applicant’s home: *Briefly comment on the applicant’s family background, if known: *In your opinion, what are the applicant’s motives for applying to ABI? *Would you recommend the applicant for acceptance into Alaska Bible Institute? NoYesYes, with reservations If applicable, briefly explain any reservations: *If you know of further information, which in your opinion, would especially qualify or disqualify the applicant, please state it here. Remember,all information is strictly confidential. CERTIFICATION *By e-signing below you certify that all the information included in this reference is complete and accurate to the best of your knowledge and that you believe the applicant possesses the qualities indicated above. *Please verify that you are a human below.