REFERENCE FORM
Admission to the Master’s Degree Program
NAME OF APPLICANT FOR WHOM YOU ARE PROVIDING A REFERENCE *
The person named above is applying for admission to the Master’s Degree Program at United Theological Seminary of the Twin Cities and has designated you as a reference. Your help in evaluating this person’s potential for theological study is of great importance to our admissions process. Thank you for your sincere and candid appraisal of this person’s character and ability.
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PERSONAL INFORMATION
Please provide your personal information below.
Name of Reference (You) *
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Position/Title *
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Address *
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Address 2
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City/State/Zip *
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Is the address above Work or Home? *
Email *
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Preferred Phone *
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Phone Type *
ROLE IN APPLICANT’S LIFE - Type of reference you are supplying? *
How long, and in what capacities, have you known the applicant? *
Your answer
SKILL EVALUATION
Please evaluate the applicant in the following areas. *
Excellent
Above Average
Average
Below Average
No Basis for Judgment
Academic Ability
Academic Achievement
Verbal Skills
Written Skills
Relation to Others
Personal Maturity
Emotional Maturity
APPLICANT’S POTENTIAL FOR LEADERSHIP
Please comment on the following areas. If you wish, you may submit a non-handwritten document giving the information below, instead of filling in the blanks provided.
1. Character: Ethical integrity, self-discipline and sense of responsibility. *
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2. Interests: Personal interests and/or social concerns of major interest. *
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3. Religious Interest: Your understanding of the applicant’s church involvement, spiritual journey and/or religious inquiry. *
Your answer
4. Strengths for Leadership: Characteristics that enhance the applicant’s vocational effectiveness. *
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5. Issues: Personal/relational issues you feel the applicant needs to address to be an effective religious leader. *
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6. General Assessment for potential religious leadership. *
OTHER COMMENTS
Is there anything else you think would be important for consideration of this candidate for admission?
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Thank you for your evaluation. Your comments will be carefully considered.
Reference Signature *
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Today’s Date *
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