Academic Reference

To be filled out by a counselor, principal or teacher (dean of students or registrar if applying as a transfer student).

This reference form will be directly submitted to the Director of Admissions Services of Harding University. Your response will remain confidential.

Or download a printable version that must be mailed in.

Applicant's Information
Applicant Name:
Applicant Address:
Applicant City:
Applicant ZIP:

Reference Information Please choose one on each line:

1. Is there any question about the student's ability to succeed academically?

2. Is the applicant now, or has he/she ever been, on academic probation?

3. Has he/she been dismissed or suspended from school/college for any reason?

4. Has the applicant ever required disciplinary action by school/college officials?
Please explain any "Yes" answers to the previous questions.

Also, add other comments concerning leadership abilities, personality, special talents, problems, etc. In compliance with Section 504 of the Rehabilitation Act of 1973, you are advised to avoid reference to any handicaps an applicant may have.

Please choose one of the following:

Please choose one of the following:

Your Information