Complete a Student Reference - St. Therese Institute of Faith and Mission

St. Therese Institute of Faith and Mission NINE-MONTH FAITH FORMATION PROGRAM — CONFIDENTIAL REFERENCE FORM —

If you have been asked by an applicant to provide a confidential reference to support their application for St. Therese Institute's Faith Formation Program, please complete and submit this form.

"*" indicates required fields

If you have been asked by an applicant to provide a confidential reference to support their application for St. Therese Institute's Faith Formation Program, please complete and submit this form.

Note: Fields marked with an asterisk* are required.

Prospective Student (Applicant) Information

Applicant Name*

Please provide the name of the prospective student (Applicant) that requested you provide a reference for them.

Year Applicant is Applying For*

1️⃣ First-Year Program (new students)

2️⃣ Second-Year Program (returning student)

The above named person (“the Applicant”) is applying to St. Therese School of Faith and Mission for admission into the FIRST-YEAR of our nine-month program of Catholic faith formation and community living. We request your candid assessment of this person and their suitability for the School of Faith and Mission.

Your Information (Referrer)

Referrer Name*

Referrer Contact Information*

Email*

Hidden

Phone - US & Canada

Phone

Phone Type

Hidden

Phone - International

Phone Type

Unless you indicate that you'd like to be added to our email list, we will only use this information to contact you if we need further clarification on any part of the Confidential Student Reference you provide.

References for Second-Year Program Applicants are from internal sources, specifically people who have come to know and journey with the Applicant over their previous year at St. Therese.

Role at STI in relation to Applicant (check all that apply)*

If your role at St. Therese is "Other", please explain:

Hidden

First-Year Reference

We appreciate your time in completing this form. All information you provide will remain strictly confidential.

1) Are you related to the Applicant?*

Yes

If yes, how?*

2. How many years have you known the Applicant?*

Under what circumstances or in what capacity?*

3) How does the Applicant accept guidance and respond to authority?*

4) Does the Applicant take responsibility and demonstrate leadership?*

5) In your opinion, what are the Applicant's most significant strengths or abilities?*

6) In your opinion, what are the Applicant's most significant weaknesses or areas of struggle?*

7) Do you have any reason to question the Applicant's moral character?

Yes

> Please explain*

8) Are you aware of anything that could hinder the Applicant's ability to fully engage in the academic and/or community/social dimensions of our program?

Yes

> Please explain*

9) Do you have any further information or comments regarding the Applicant that would be helpful in evaluating their application?

Yes

> Please explain*

10) In regards to the Applicant's attendance in our program do you:*

RECOMMEND wholeheartedly

RECOMMEND, but with reservations

DO NOT recommend

I DO NOT KNOW the Applicant sufficiently

Second-Year Reference

We appreciate your time in completing this form. All information you provide will remain strictly confidential.

Part I - General Evaluation

On a scale of 1 to 5 (where 1 is the least and 5 is the greatest), please rate the Applicant on the following. If you have no knowledge, experience, or opinion about the Applicant on a matter, please select "n/a". You will have an option to comment on significant areas growth in q#16.

1) The Applicant has willingly embraced life at St. Therese with openness*

2) The Applicant has actively participated in community life*

3) The Applicant has actively participated in the academic aspect of the formation program*

4) The Applicant has actively participated in the pastoral support offered (Pastoral Advising, formation guidance and direction, from STAYs, etc.)*

5) The Applicant has accepted guidance willingly*

6) The Applicant has responded well to authority*

7) The Applicant exhibits responsibility for their personal faith and growth (e.g.: personal prayer, studies, personal space, PA meetings, share groups, etc)*

8) The Applicant exhibits personal responsibility in community life (e.g.: community activities, participation in daily schedule, chore groups, communal prayer times, community socializing, etc)*

9) The Applicant demonstrates initiative in living the Little Way of St. Thérèse in the community*

10) The Applicant exhibits respectful relating with other members of the student community*

11) The Applicant exhibits respectful relating with other students, STAYs, instructors, formators, staff, and volunteers*

12) The Applicant exhibits respectful relating with guests to STI, parishioners of St. Bruno parish, and others in the community*

13) The Applicant exhibits respect for themselves*

14) The Applicant exhibits fidelity in maintaining their personal faith life*

15) The Applicant exhibits a lived witness of their Catholic Christian faith by an outward life of virtue in community*

16) Recognizing that everyone is growing in this program, are there any of the above areas where there has been significant or remarkable growth this year?

Part II - Short Answer

1) Will the Applicant benefit from a second year of formation at St. Therese Institute?*

Yes

Unsure

> Please explain*

2) Will the Applicant be a benefit to the student community in the coming year?*

Yes

Unsure

> Please explain*

3) Do you have any reason to question the Applicant's suitability for the Second Year Program?*

Yes

Unsure

> Please explain

4) Do you think that the Applicant would benefit from delaying attendance in the Second Year program for the time being, and apply for the following year?*

Yes

Unsure

(i.e.: Would the Applicant perhaps benefit from living the Little Way away from St. Therese in order to continue growth and personal maturity before participating in the Second Year program.)

> Please explain

5) Do you have any further information or comments regarding the Applicant that would be helpful in evaluating their application?

Part III - Recommendation

10) In regards to the Applicant's acceptance in the Second Year Program do you*

RECOMMEND wholeheartedly

RECOMMEND, but with reservations

DO NOT recommend

I DO NOT KNOW the Applicant sufficiently

Suggest the Applicant DELAY ATTENDANCE and apply for a later formation year

CAPTCHA

St. Therese Institute of Faith and Mission NINE-MONTH FAITH FORMATION PROGRAM — CONFIDENTIAL REFERENCE FORM —

Prospective Student (Applicant) Information

Your Information (Referrer)

Phone - US & Canada

Phone - International

First-Year Reference

Second-Year Reference

Part I - General Evaluation

Part II - Short Answer

Part III - Recommendation

Get in touch

Help Transform Lives

Join our newsletter