Reference Form | 2025

Applicant Information

First
Last
First
Last
First
Last

Knowledge of the Applicant

In what capacity do you know the applicant?
Approximately how long have you known the applicant?
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)
I certify that I am not related to the applicant and the information I have provided is true to the best of my knowledge.
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.
First
Last
First
Last
Address
Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country