Reference Sheet

Reference Information Sheet

Please provide contact info for the following references. You are not required to collect the references on your own, your references will be contacted by the State Collegiate Ministries director with the information you provide below. Please ask each one of your references if they are willing to be a reference and let them know a references form will be sent to their email.

* Indicates required field

Your Name (First & Last) *

What campus are you applying from? *

Reference Contact Information

Please provide the first and last name of each reference and their title if applicable.

1. Mentor/ Discipler (First & Last Name, with title if applicable) *

Phone Number *

Email *

2. Christian Challenge staff member that knows you well (First & Last Name) *

Phone Number *

Email *

3. Pastor or Church leader who knows you well (First & Last Name, with title if applicable) *

Phone Number *

Email *

4. Teacher/Professor/ Supervisor- Please specify which (First & Last Name, with title if applicable) *

Email *

5. Friend of the same gender who has known you well for the last two years (First & Last Name, with title if applicable) *

Phone Number *

Email *

Submit

NM Team Application

reference Request