Admissions Reference Form
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Applicant & Referee
Your Reference part 1
Your Reference part 2
Closing comments
Reference Type
Applicant Name
Applicant Phone
(if available)
The person named above has applied for admission to Prairie. Each applicant for admission must submit a recommendation from a Christian adult, 21 years of age or older. Serious consideration is given to this recommendation; therefore, we request that you complete and submit this form. If you prefer our paper-based reference form please click here to download.

Your prompt response is appreciated. This application cannot be processed until we receive this form
About you as the Referee
Your name
Your email
Company (if applicable)
Name of Church
Your privacy: The information that you provide will only be used in compliance
with provincial privacy legislation and Prairie's Privacy Policy.


Prairie Bible Institute
Box 4000
Three Hills, AB T0M 2N0

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