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Confidential Reference Form

The person named below is applying for admission to Randall University; your cooperation in completing this Reference Form will be greatly appreciated. All information will be held in strict confidence.

Name of Reference: *

Reference's Email *

Reference's Phone *

Name of Applicant: *

Date *

1. How long have you known the applicant? *

2. In what capacity do you know the applicant? *

3. Briefly comment on the family and social background of applicant. *

4. Does his/her manner, appearance, and personality affect others? *

Sought out by others
Average
Avoided by others

5. Is he/she able to lead others? *

Marked ability to lead
Average
Probably unable to lead

6. Is he/she a person of initiative? *

A generous volunteer who helps others
Average
Needs encouragement in doing necessary tasks

7. How does he/she control his/her emotions? *

Apathetic
Normal
Too easily excited to anger or fits of depression, etc.

8. How would you rate his/her adaptability? *

Adjusts easily and readily
Fair
Refuses to fit into new situations

9. Does applicant impress you as one who should be admitted to Randall University? *

Emphatically
Yes
With some hesitation
No

10. Does applicant impress you as the type who will succeed in life? *

Outstandingly promising
Average
Not much promise

11. Write any further comments that you feel would help us in regard to the applicant:

Website

Confidential Reference Form

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Randall University ”A Free Will Baptist College since 1959″

3701 S. I-35 Service Rd, Moore, OK 73160 | (405) 912-9000 | info@ru.edu | Student Achievement | Student Complaints and Appeals

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