ZION HILL BAPTIST THEOLOGICAL INSTITUTE

1900 W. Dr. Martin Luther King Jr. Way

Dayton, Ohio 45417

Pastor's Recommendation Form

To Be Completed by Student Applicant:

I authorize the release of the following information to be considered in my application

for admission to Zion Hill Baptist Theological Institute. I understand that the
information will be held in confidence by the Institute, and will not be released to me or
anyone else. I also understand that this questionnaire will be mailed to Zion Hill Baptist
Theological Institute by my pastor.

Signature: _____________________________________________________________

Printed Name
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Address: ______________________________________________________________

City: __________________________ State: ________________ Zip: ____________

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To Be Completed by an unrelated, adult friend of the above student applicant:

Please answer all questions as frankly as possible. This information will be held in strict
confidence by Zion Hill Baptist Theological Institute.

What is your relationship with this person? ___________________________________

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What is this person’s marital status? ______________________________________

Do you know of any reason why this person would not be suitable to attend Zion Hill
Baptist Theological Institute? ____________________________________________
If yes, please explain in the space provided. ________________________________
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Has this person made a profession of faith accepting Jesus Christ as personal savior?
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Is this person trustworthy? ______________________________________________

List any traits or extremes: such as boldness, shyness, brilliance, dullness, etc…
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Would you want your children to be in close association with this person? Please explain
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Please use this space to make any comments about this person that you feel are relevant.
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Mail completed form to:

Director of Admissions

ZION HILL BAPTIST

THEOLOGICAL INSTITUTE
1900 W. DR. M. L. KING, JR. WAY
DAYTON, OHIO 45417

This person’s application cannot be further processed until we hear from you.

_____________________________________________ ___________
Signature of person filling out this form Date

Printed Name: _______________________________________________________

Church Name: _______________________________________________________

Address: ___________________________________________________________

City: _______________________ State: ___________ Zip: __________________

Phone Number: (____) ____-______