Applicant's Name

Note: A personal interview with the candidate may be helpful so that you can respond with confidence and accuracy to the following questions:

Please describe your relationship with the applicant, indicating the length and extent of your association.

Share with us any information about the applicant's family background which would be helpful to the Admissions Committee.

How often does the applicant attend Sunday School and/or church? Please provide comments, especially if attendance is less than weekly.
Weekly Twice/Month Once/Month Seldom Does not attend I'm not sure

Do you feel or believe that this applicant studies and applies Christian Science on a regular basis? If not, or if you don't know, please comment.
Yes No I'm not sure

Please comment on your perception of the applicant's demonstration of Christian Science.

All members of the Principia community are expected to live in accord with the stated Principia Pledge and the Code of Conduct. To the best of your knowledge, is the applicant free from participation in and/or use of the following? Alcohol, tobacco, marijuana, and other drugs (including drugs for medicinal purposes); lying, cheating, stealing and vandalism; premarital or extramarital sexual relations (both heterosexual and homosexual). Please comment on each of the issues below as appropriate.

Is there any additional information you would like to provide which would be helpful to the Admissions Committee as it considers this applicant for admission to Principia College?

How do you support this candidate's application to Principia College? If you choose "Recommend with reservation" or "Do not recommend," please comment:
Strongly recommend Recommend Recommend with reservation Do not recommend

Your name

Date

Telephone number Home Office

Address Home Office

City

State/province

ZIP/postal code

Country

Your branch church

E-mail address