This personal reference request is to aid in the evaluation of an applicant for admission to the Bachelor of Nursing program at Anderson University. We appreciate your candid and thoughtful opinions regarding this candidate's aptitude for success in this course of study. Please include any information that you feel is pertinent, as promptly as you are able, and submit the form by clicking the "Send Recommendation" button. Thank you.

Applicant First Name:  
Applicant Last Name:  
Applicant Email:  
Reference Prefix:  
Reference First Name:  
Reference Last Name:  
Reference Company/Organization:  
Reference Position:  
Reference Phone:
Reference Email Address:  
Relationship to Applicant:  
How Long have you known the applicant?  

Academic Ability  
Organizational Skills  
Leadership Ability  
Ability to Work with Others  
Attendance and Punctuality  
Quality of Work  
Faith in Action  

What do you consider to be the applicant's strengths or talents?


What do you consider to be the applicant's weaknesses or challenges?


Please provide any additional comments to assist the Admission Committee in their evaluation of this candidate.

Other Comments:

If you were an official of this University, knowing what you do about this applicant, would you vote to accept this applicant?

Overall Recommendation


The electronic signature is a unique identifier and timestamp indicating that you completed this form for the indicated applicant and that the information you provided is truthful and accurate to the best of your knowledge. Once submitted, the form will be locked from further edits. After you complete the form, please click SEND RECOMMENDATION at the bottom to send your response to our office. Thank you for your assistance.