Northwest Indiana District NYI Nazarene University Scholarship Reference | 2024
Thank you for taking the time to fill out this reference form on behalf of the applicant. If you have any questions, please contact Morgan Humrichouser at morganh@valponaz.org or there is a section to ask questions at the end of this form.

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Your Name (First & Last): *
Phone Number: *
Email: *
Position (select one) *
Applicant’s Name: *
For the next 3 questions - Describe, to the best of your knowledge, the applicant’s church relationship in these areas.  Please select a number between 1 and 10 for each item. *
Dependability (10 being very dependable & 1 being not dependable): *
Attendance (10 being very involved & 1 being rarely seen): *
Use of Talent (10 being active in ministry & 1 unwilling): *
The next several questions are about the applicants character: Does this applicant have a relationship with Christ? *
Describe some of the good fruit his/her life is producing: *
Does this student demonstrate leadership college setting? How? *
Why should we give a scholarship to this student? *
Questions or Comments: *
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