Reference Form (MA)

Applicant's Name*

First NameLast Name

Referee's Name*

First NameLast Name

Position or Title

Organization

Email*

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

The Admissions Committee and the Academic Dean of Atlantic School of Theology would appreciate a confidential statement from you concerning the applicant named above, indicating how well you think this applicant would perform as a graduate student in this area. If you can compare this applicant with others known to you who have attended or are now applying for admission to this program, we would welcome such a comparison. Please indicate if, to your knowledge, there are any factors that might prevent this applicant from successfully completing graduate study. AST appreciates the assistance you provide by submitting your letter of reference for the applicant.

All information you provide in this letter of reference will be treated confidentially.

How long have you known the applicant?*

In what capacity do you or did you know this applicant?*

Please complete the following rubric. *

Rows	Upper 2%	Upper 10%	Upper 25%	Upper 50%	Lower 50%	No Basis for Judgment
Overall Ability
Scholarship
Intelligence
Ability to express self orally (English)
Ability to express self in writing (English)
Perseverance
Emotional Maturity
Resourcefulness
Potential for a career in this area

If you were responsible for the admission decision regarding this applicant, which of the following would best represent your action?*

Is there any other information you wish to share with AST that will assist in making an admission decision?