EBS Prospective Student Spiritual Reference Form
The person who sent you this form is applying to be a student at Emmaus Biblical Seminary and he/she has given your name as a reference. Please fill out the following information to help the applicant complete the application process.
Applicant's Name *
Your answer
Reference's Name *
Your answer
Telephone *
Your answer
Email *
Your answer
Date: *
MM
/
DD
/
YYYY
How long and in what relationship have you known the applicant? *
Your answer
How well would you say you know the applicant? *
Not at all
Very well
How would you rate the applicant's spiritual walk? *
How would you rate the applicant's emotional well-being? *
Not Known
Poor
Below Average
Average
Above Average
Excellent
Self-image
Knowledge of his/her strengths and weaknesses
Freedom from worry, anxiety
Ability to tolerate ambiguity
Ability to be vulnerable
Ability to handle pressure
Contentment
How would you rate the applicant's relationship with others? *
Not known
Poor
Below average
Average
Above average
Excellent
Ability to communicate
Ability to develop relationships
Ability to resolve conflicts
Sensitivity to others needs/feelings
Team player/servant attitude
Tactfulness
Submission to authority
Personal Maturity *
Not known
Poor
Below average
Average
Above average
Excellent
Self-discipline
Conscientiousness
Perseverance
Common sense and judgment
Flexibility
Decisiveness/follow-through
Punctuality
Integrity
Teachability
How would you rate the applicant's family life (if applicable)
Not known
Poor
Below average
Average
Above average
Excellent
Marital harmony
Discipline of children
How often have you observed the applicant experience the following? *
Never
Occasionally
Frequently
Anger
Defensiveness
Discontentment
Self-doubt
Timidity
Withdrawal
Manipulation
Criticalness
Argumentative
Irritability
Moodiness
Do you have any reason to question this person's morals? (Lying, sexual impurity, etc.) If so please explain. *
Your answer
Do you have any reason whatsoever to lack confidence in the applicant? If so, please explain. *
Your answer
Other comments you would like to make.
Your answer
If you are not recommending him/her, or have noted concerns, have you discussed these issues with him/her?
Your answer
Signature *
Type your name for an electronic signature
Your answer
Submit
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