CONSERVATIVE THEOLOGICAL UNIVERSITY
12021 Old St. Augustine Road
Jacksonville, FL 32258
(904) 262-8275
Admissions: 1-800-GO-BIBLE

Chairman's / Executive's Recommendation

____________________________________________________________
(Full name of applicant)

has applied for admissions to Conservative Theological University and has given your name as a reference. Will you please fill out this reference form at your earliest convenience and return it directly to the admissions office at the above address.

Be advised that due to the family educational rights and privacy act of 1974, after matriculation the applicant has the right of access to this document unless he or she has signed the waiver statement below. If the waiver statement is not signed and there is information that you prefer to communicate personally, you may call the
director of admissions at 1-800-GO-BIBLE.

I willingly waive my right of access to see this recommendation, knowing that this waiver is NOT required as a condition for admissions.

Signature of Applicant _____________________________________________________________

1. How long have you known the applicant?____________________________________________________________________________

2. How well do you know the applicant?_______________________________________________________________________________

3. Please give what information you can regarding the applicant's church life.

5. Does the applicant relate well to others?

6. Does the applicant work well with others?___________________________________________________________________________

7.What do you consider the applicant's talents and abilities? _____________________________________________________________

8. What do you consider the applicant's weak points? ___________________________________________________________________

9. Have you observed weakness in the applicant's moral life? _____________________________________________________________

10. Additional comments __________________________________________________________________________________________

Signature ____________________________________________________ Position____________________________________________

Address ________________________________________________________________________________________________________

Date ____________________________________ Telephone (include area code) _____________________________________________