Applicant Reference Form & Character Profile Assessment

Please complete the following character reference to the best of your ability. All information will be kept in confidence by the school. Please keep in mind that the application cannot be processed until reference forms are received.

Reference Name*

First Last

NBC Applicant Name*

First Last

Email*

In what capacity have you known the applicant?*

Please explain relationship:*

Approximately how long have you known the applicant?*

How well do you know the applicant?*

Please give what information you can regarding the applicant's family life:*

To your knowledge, has the applicant acknowledge Jesus Christ as their Saviour?*

If known, when?

To what extent does the applicant attend the services/activities of his/her church?*

What personal strengths have you observed?*

Have you ever had occasion to question his/her morals?*

Yes
No

Please explain*

How does the applicant respond to authority?*

Please rate the applicant's work ethic (1 - lowest; 5 highest).*

Please comment on the applicant's work ethic.*

Check any traits that characterize the applicant*

Peer Relationships*

Generally avoided
Slow to make friends
Makes friends easily
Very popular
Not observed

Relational Style*

Loner
Reserved
Average
Outgoing, friendly
Overbearing

Relationship with the Opposite Sex*

Relates well/at ease
Considerate but awkward
Insensitive/insecure
Not observed

Self Assurance*

Very confident
Average confidence
Needs encouragement
Insecure

Leadership*

Strong leadership abilities
Assumes occasional leadership
Tries, but struggles in leadership
Usually a follower
Not observed

Spiritual Life*

Consistently positive testimony
Shows good growth toward maturity
Little evidence
No interest in spiritual growth
Not observed

Response to Stress/Pressure*

Copes well
Adapts slowly
Becomes overly critical of others
Dominates situation or people
Withdraws socially or emotionally
Not observed

Initiative*

Very Good
Average
Succeeds if well directed
Requires much oversight
Not observed

Communication Skills*

Clear, confident in communication
Average ability to communicate
Unable to communicate clearly

Please indicate your recommendation of the applicant to attend Nipawin Bible College:*

Please explain your recommendation*

I am willing to be contacted by NBC as a follow-up to this reference form.*

Yes
No

Phone*

If you have further comments or concerns about this applicant, please contact: Jason Elford Director of Admissions (306) 862-5095 jason@nipawin.org