Please take a moment to fill out the information requested below. Each applicant MUST HAVE a completed recommendation from turned in before they can be fully accepted into the program. Thank you!

Applicant Information

First Name*

Last Name*

Recommendation Information

How well do you know the applicant?

Please select one.

Very Well

Well

Casually

Comments

Please write any additional comments about your relationship with the applicant (if necessary).

Evaluation

Initiative*

Please select one option.

Concern for Others*

Please select one option.

Social Adaptability*

Please select one option.

Ability to Follow*

Please select one option.

Leadership*

Please select one option.

Judgment/Decision Making*

Please select one option.

Emotional Stability*

Please select one option.

Health*

Please select one option.

Personal Hygiene & Appearance*

Please select one option.

Comments

Please write any comments you may have about the above information.

Mental Ability*

Please select one option.

Industry*

Please select one option.

Reliability*

Please select one option.

Cooperativeness*

Please select one option.

Flexibility*

Please select one option.

Christian Character*

Please select one option.

Disposition*

Please select one option.

Punctuality*

Please select one option.

Financial Responsibility*

Please select one option.

Comments

Please write any comments you may have about above information.

Questionnaire

To what extent is the applicant active in church?*

Please write a brief description.

Does he/she display high moral standards?*

Please select one option.

Yes No

Is he/she prejudiced against groups, races, or nationalities?

Please select one option.

Yes No

With reference to his/her Christian service, the applicant is:

Please select one option.

Dedicated Average Casual

Comments

Please write any comments you may have regarding the applicant's Christian service.

In your consideration, which of the following would best describe the applicant's Christian experience?

Please select one option.

Mature Contagious Genuine and Growing Over-emotional Superficial

Overall, what do you consider to be the applicant's strong points?*

Please describe below; include any special abilities.

Please comment on the applicant's family background, if known.*

In your opinion, what are the applicant's motives for applying to School of the Heart?*

Please briefly describe below.

What could School of the Heart do to aid in the applicant's personal development?*

Please briefly describe below.

Please add any relevant remarks (i.e. medical, psychological, drug or alcohol-related, or other life situations we should know more about).*

Please briefly describe below.

Would you recommend the applicant for acceptance into this session of School of the Heart?*

Please select one option.

Additional Comments

Please list any additional comments regarding your recommendation for the applicant.

Information Verification

I have known the applicant for ____________ years.*

Please select one option.

Signature*

Please write your name in the box below as an electronic signature verifying that all the above information is provided with accuracy and integrity.

Phone Number*

Please provide a phone number at which we may contact you (if necessary).

Email Address*

Please provide an e-mail address at which we may contact you (if necessary).

What is 2+2?*

Prove you are a human

Burn 24-7 and Life Center Ministries International admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies and school-administered programs.

If you have any additional questions or comments, please e-mail them to admissions@theburn247.com. Thank you!

School of the Heart - Pastoral Recommendation

Applicant Information

Recommendation Information

Evaluation

Questionnaire

Information Verification