Great Lakes Bible College
Great Lakes Bible College “Building Believers, Releasing Leaders” _________________________________________________________________________www.glbc.ca
Confidential Academic Reference (R15) Part 1 Applicant is to complete Part 1 of this form and give it to a current (or most recent) teacher or Principal. This form must be returned directly to Great Lakes Bible College by the person acting as a reference to ensure a prompt admission decision. It will be helpful for you to provide them with a stamped, addressed envelope. _____________________________________________________________________________________________ Applicant's Name _____________________________________________________________________________________________ Address _____________________________________________________________________________________________ City Province/State Postal Code/Zip
As an applicant for admission to Great Lakes Bible College, I am requesting that you complete this form and forward it to Great Lakes Bible College, Office of Admissions. I understand that I will not have access to this information.
_______________________________________________________________ Applicant’s Signature
Date
_______________________________________________________________ Parent’s Signature (for students under 18 years)
Date
To be completed by a Teacher/Principal of last school attended Part 2 To the one referring the applicant: Please complete this form as completely and accurately as possible. This form will be handled with sensitivity and is designed to give school personnel insight into the ability, character and integrity of the student. 1. How well do you know the applicant? very well moderately not very well
2. How did you come to know the applicant? Teacher Guidance Counselor Principal etc.
3. Has the applicant ever been suspended or dismissed from school for any reason? No Yes Do not know (If Yes, Explain)
4. Do you have any doubts about the applicant’s ability to graduate from Bible College
5. Please provide general observations about the applicant’s personal qualities such as leadership potential, peer relationships, integrity, etc.
6. Check one: Recommended for Admission
Do not recommend Make no recommendation
Contact me for further information
Please mail to: Great Lakes Bible College Attn: Academic Dean 470 Glenelm Crescent Waterloo, ON N2L 5C8
Print Name: ________________________________________ Signature: __________________________________________ Date” ___________________ Business Phone: ________________________
Thank you for your assistance.
Confidential Academic Reference (R15) Part 1 Applicant is to complete Part 1 of this form and give it to a current (or most recent) teacher or Principal. This form must be returned directly to Great Lakes Bible College by the person acting as a reference to ensure a prompt admission decision. It will be helpful for you to provide them with a stamped, addressed envelope. _____________________________________________________________________________________________ Applicant's Name _____________________________________________________________________________________________ Address _____________________________________________________________________________________________ City Province/State Postal Code/Zip
As an applicant for admission to Great Lakes Bible College, I am requesting that you complete this form and forward it to Great Lakes Bible College, Office of Admissions. I understand that I will not have access to this information.
_______________________________________________________________ Applicant’s Signature
Date
_______________________________________________________________ Parent’s Signature (for students under 18 years)
Date
To be completed by a Teacher/Principal of last school attended Part 2 To the one referring the applicant: Please complete this form as completely and accurately as possible. This form will be handled with sensitivity and is designed to give school personnel insight into the ability, character and integrity of the student. 1. How well do you know the applicant? very well moderately not very well
2. How did you come to know the applicant? Teacher Guidance Counselor Principal etc.
3. Has the applicant ever been suspended or dismissed from school for any reason? No Yes Do not know (If Yes, Explain)
4. Do you have any doubts about the applicant’s ability to graduate from Bible College
5. Please provide general observations about the applicant’s personal qualities such as leadership potential, peer relationships, integrity, etc.
6. Check one: Recommended for Admission
Do not recommend Make no recommendation
Contact me for further information
Please mail to: Great Lakes Bible College Attn: Academic Dean 470 Glenelm Crescent Waterloo, ON N2L 5C8
Print Name: ________________________________________ Signature: __________________________________________ Date” ___________________ Business Phone: ________________________
Thank you for your assistance.
