Reference Request (not waived)

Thank you for taking a moment to complete this reference form. The information you supply will be used in determining admission. We appreciate your cooperation.

The student HAS NOT waived the right to see this reference.*
- I am aware that this student HAS NOT waived the right to review this reference.
Name of Prospective Student*
First Last
Please rate this student on the following factors by placing a check mark under the appropriate term.
ACADEMIC WORK: achievement in college work completed.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
MATURITY: personal development, ability to cope with life situations.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
EMOTIONAL STABILITY: performance under pressure, mood stability, constancy in ability to relate to others.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
INTERPERSONAL RELATIONS: ability to get along with others, rapport, cooperative attitude toward supervision.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
EMPATHY: sensitivity to needs of others, consideration, tact.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
JUDGMENT: ability to analyze a problem, common sense, decisiveness.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
RESOURCEFULNESS: originality, skillful management of available resources, initiative.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
RELIABILITY: dependability, sense of responsibility, conscientiousness.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
COMMUNICATION SKILLS: clarity of expression, articulates well.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
PERSEVERANCE: stamina, endurance.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
SELF-CONFIDENCE: assured, capacity to achieve with awareness of own strengths and weaknesses.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
MOTIVATION: genuineness and depth of interest for ministry.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
LEADERSHIP: ability to lead others.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
PERSONAL APPEARANCE: dress, general appearance.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
“PROFESSIONAL” PROMISE: usefulness in ministry.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
SPIRITUALITY: spiritual characteristics, church activities.*
- Outstanding
- Good
- Average
- Low Average
- Poor
- No Basis for Judgment
I would recommend this prospective student for admission.*
- Yes, without reservation
- Yes, with reservation
- No
Additional Comments
My association with this person has been:*
- Professor
- Supervisor
- Minister
- Friend
- Mentor
- Other
If other, please specify:*
How long have you known this person?*
- Less than five years
- Between five and ten years
- Longer than ten years
Thank you for your assistance. By entering your name and today's date and clicking submit, you are electronically signing this reference request.
Your Name*
First Last
Occupation*
Your Email*
Today's Date*
Month
Day
Year

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Harding School of Theology
1000 Cherry Road
Memphis, Tennessee 38117

office 901-432-7750
text 901-300-3995