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  • STUDENT REFERENCE FORM

  • The above named individual is applying to become a student at Fountainview Academy. Your honest and candid appraisal will assist us in making an informed decision regarding this student's compatibility with our spiritual, academic, and physical program. This referral will be kept strictly confidential.

  • Please rate the applicant on a scale of 1 (weaker) to 5 (stronger) for each of the following areas. Check-mark any descriptors that specifically describe the applicant for each area or add your own descriptors in the comments section.

     

  • 1. Spirituality

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  • 2. Relation to Authority

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  • 3. Integrity

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  • 4. Helpfulness

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  • 5. Learning/ Academics

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  • 6. Judgment (Reasoning Ability)

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  • 7. Emotional Stability

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  • 8. Personal Appearance

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  • 9. Conversation

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  • 10. Social Acceptance

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  • 11. Relation to Opposite Gender

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  • 12. Influence on Others

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  • 13. Industriousness

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  • 14. Health

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  • 15. Parents' Financial Responsibility

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  • Your Information

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  • Should be Empty: