Note to the Student
Please complete the top part of this form before giving it to the person making the recommendation.

Date ________________

Student's Name (Last, First, Middle Initial)
_________________, __________________ _______ Stud ID# (SS#) ____-____-_____

In completing this information and submitting this form to a person I have chosen to provide a recommendation, I agree to have this information released to the Bible program at Ohio Valley College. I ( ___do/___do not) waive my right to have access to this information. [Please check one of the above options; if no option is checked, the right to access is waived.]

Applicant's Signature _______________________________________

Note to the Person Providing the Recommendation
Please complete the following information and return directly to:

Dr. Robert J. Young, Bible Program Director
4501 College Parkway
Parkersburg, WV 26101
Phone: 304-485-7384; Fax: 304-485-3106; E-Mail: bible@ovu.edu

The student has also been encouraged to request from you a letter of reference. Thank you for your assistance.

Please use this scale in rating the student:
1--Almost always; 2--Generally; 3--Acceptable; 4--Sometimes lacking; 5--Often lacking; 6--Not observed

____ Professional in attire and demeanor as appropriate
____ Punctuality
____ Accepts responsibility
____ Is dependable
____ Attitude/interest in class
____ Verbal expression
____ Interpersonal skills
____ Written communication skills
____ Ability to get along with others
____ Spiritual interest

.

.

Please check one:

Signature _______________________________________

Printed Name ____________________________________

Date ________________
Contact Information _____________________________________
_________________________________________________________