Moody Reference – Fill Out and Use This PDF

MOODY BIBLE INSTITUTE

ADMISSIONS OFFICE

820 N. LaSalle Blvd.

Chicago, Illinois 60610-3284

1-800-967-4MBI (4624) • apply@moody.edu • www.moody.edu

CONFIDENTIAL: FRIEND’S REFERENCE FORM (MALE)

This portion is to be completed by the applicant:

Name of Applicant _______________________________________________________________________________________________

WAIVER OF RIGHT TO ACCESS: I, the undersigned, hereby voluntarily waive any right or privilege by Public Law 93-380 to inspect or challenge the content and comments expressed in this reference. I expect that the observations made shall remain confidential between the writer and the Moody Bible Institute.

Signature of Applicant ____________________________________________________ Date _____________________________________________________________

(The signing of this waiver is voluntary. It is not required as a condition for admission.)

INSTRUCTIONS TO THE REFERENT: Thank you for taking the time to fill out this application. We realize your time is valuable and we appreciate your willingness to help us. The clearer and more factual you can be enables us to serve the applicant in the best way possible. The person named above is applying for admission to Moody Bible Institute, a Christian institution whose purpose is to train persons for vocations in full-time ministry. It is highly essential that you be frank, fair, and accurate in your remarks and estimation. Please note the provision of the Family Education Rights and Privacy Act of 1974 as shown above. Although the applicant may voluntarily waive the right to review this reference, it is hoped that a spirit of openness and candor will exist between the applicant and the referent regarding the contents of this reference. Applicants are required to submit Reference Forms (and other documents) with the application. This ensures that the applicant knows the application is complete when submitted. After completing this form, please e-mail it to apply@moody.edu..

2.Please describe the applicant’s home life.______________________________________________________________________________

3.Please give what information you can regarding the applicant’s spiritual, social, and business life.

4.Does the applicant respond well to authority? ___________________________________________________________________________

5.Does the applicant work well with others? _____________________________________________________________________________

6.What are the applicant’s significant talents or special abilities? _______________________________________________________________

UG/11