Kauai Bible College

Name of Student Applying to Kauai Bible College:


Name of Individual providing the reference:


Phone number for individual providing the reference:


Email of individual providing the reference:


How long have you known the applicant?


Which of the following would best define your relationship to the applicant?
Friend Boss Family Relative Pastoral Aquaintence Other

On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rank the student's ability to be responsible?
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On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rate the student's adaptability?
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On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rank the student's communication?
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On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rank the student's spiritual maturity?
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On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rank the student's church involvement?
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On a scale of 1 to 10, 1 being terrible and 10 being terrific, how would you rank the student's emotional stability?
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On a scale of 1 to 10, 1 being low and 10 being high, how would you rank your personal recommendation?
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Please list any other aspects of the student's life that would help us in our applicaiton process


Would you like to receive quarterly ministry updates as well as student updates from Kauai Bible College?
Yes
No

Please initial here as a form of signiture: