Eden Valley Institute of Wellness
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Student Reference Form


    The above person has applied at Eden Valley Institute and has given your name as a reference. Your careful and honest evaluation is valued and necessary for us to make a final decision regarding this individual. This referral form will be kept strictly confidential. Since this form must be on file before acceptance can be considered, your prompt completion of this form is appreciated. Thank you very much for your assistance and for your time in providing us with your honest appraisal of this applicant. 


    l. How long have you known the applicant? 
    What is your relationship to the applicant?

    5. If you would be willing for us to contact you further about the applicant, please provide a telephone number where you may be reached during normal business hours: 

    7. Please indicate the number below which best describe the applicant for each category of evaluation. (Note: "5" indicates the applicant is most like the characteristics on the left side, and "1" the characteristics on the right side. "4," "3," and "2" show moderate association with either side. If you have inadequate information concerning any, please indicate so my choosing n/a) 


    A. Spirituality

    B. Intellect

    C. Judgement

    D. Service

    E. Industriousness

    F. Relationship to the Church

    G. Healthy Lifestyle

    H. Sociability

    strong, stable, growing

    vigorous, creative, learning

    sound, careful, teachable

    compassionate, unselfish

    diligent, thorough

    loyal, supportive

    conscientious, healthy

    secure, outgoing, friendly








    immature, shaky, stagnating

    slow, unmotivated, self-stisfied

    rash, impulsive, headstrong

    indifferent, self-centered

    lazy, incompetent

    critical, divisive, distant

    uninformed, careless

    shy,introverted, unsocial

    8. I am acquainted with the principles and policies which characterize life at Eden Valley Institute.


Submit
Eden Valley Institute of Wellness 
9325 World Mission Dr. Loveland CO 80538​
(970) 667-1770
  • HOME
  • ABOUT US
    • 2022 Convention
  • LIFESTYLE
    • Success Stories
    • Lifestyle Program
    • One Day Retreat
    • Healthy Heights Retreat
    • Program Dates
    • Rates and Payment
    • Follow-Up Form
    • Application Form
  • EDUCATION
    • Medical Missionary / Evangelism
    • Agricultural Program
    • One Week Gardening
  • COUNTRY STORE
  • CONTACT
  • FARM
    • Farm Store
  • MEDIA
    • Photo Gallery
    • 2017 Convention
    • 2018 Convention
    • Faith Ventures
  • Volunteer Opportunities
  • FORMS
    • Volunteer Application
    • Student Application
    • Agricultural Student Application
    • Reference Form
  • DONATE
  • Volunteer Application
  • Virtual Cook Along