Reference for Admission | Kentucky Mountain Bible College

Applicant Information

Your Name | Person filling out this form

First

Last Name

Last

Applicant's Name | Student for whom you are giving a reference

First

Last Name

Last

Is the student considered an international student for enrollment purposes?

Yes

First

Last

Knowledge of the Applicant

How well do you know the applicant?

Approximately how long have you known the applicant?

Years

Months

How often does the applicant attend church?

Choose the appropriate number according to your knowledge of the applicant.
(1-poor, 2-below average, 3-average, 4-above average, 5-superior, n/a-if unable to answer)

Discreet with Opposite Sex

Judgment

Spiritually Minded

Emotional Stability

Leadership Qualities

Respect for Authority

Respect for Peers

Teachable

Self-Discipline

What are three skills or strengths this applicant has, and how do they use them?

Would you be willing for this person to serve in your church or on a mission field?

How does this applicant currently serve in their church or community?

Please write a paragraph or two regarding why you reccomend this applicant for study in the United States

Are there any areas in which this applicant needs support?

Kentucky Mountain College trains international students to prepare them for work in their home country. We expect our international students to return to their home country after completing their studies at KMC. We ask a pastor or other church leader from the applicant's home country for a recommendation of the student and an assurance that they have a place in their home country when they have completed their studies. I, understand and agree with KMC's purpose for training international students.

Yes

I recommend the above applicant for training, and are offering him/her a place with our/my organization upon completion of their studies.

Yes

I recommend the above applicant for training, and are offering him/her a place with our/my organization upon completion of their studies.

Yes

Check the appropriate box regarding the applicant's prospective admission to KMBC.

I certify that I am not related to the applicant and the information I have provided is true to the best of my knowledge.

Yes

Relation Explanation

Please explain why you selected "no" to the previous question. Please note that KMBC requires recommendations to be from non-relatives, so this form will not be considered as an official reference. However, in certain situations relatives may provide additional information needed by the college.

Signature

Date

First Name

First

Last Name

Last

First

Last

Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Phone

Text

If you are human, leave this field blank.