Reference Form Reference Form This form is to be used by Pastor, Academic, Character, and Personal references for application to any of the degree programs at Yellowstone Theological Institute. Step 1 of 3 33% Reference InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Organization Affiliation*Position* Applicant InformationPlease be honest and accurate in your remarks and estimations of the applicant you are referring to Yellowstone Theological Institute.What type of reference are you?*AcademicPastorCharacterPersonalName of Applicant you are referring:* First Last How long have you known the applicant?*In what capacity?*Does the applicants speech and conduct consistently exhibit their Christian beliefs?*How is the applicant regarded by their friends and community?*Has the applicant been a member in good standing and actively serving their community? If so, in what capacity?*What do you consider to be their strengths of personality and talents?*What do you consider to be their areas where personality development is needed?*What is the applicant's attitude toward authority and responsiveness toward instruction?*What degree of success do you predict for the applicant in graduate studies?*ExceptionalHighAverageMediocreDo you recommend this applicant for admission at Yellowstone Theological Institute?*I recommendI do not recommendI recommend, but with reservationPlease explain your reservations in detail* AgreementI certify that the information and responses given in reference for the applicant are true, correct and complete.* I agree If you do not agree, please do not submit this form.Signature* First Middle Last Please submit your full name as your signature.