PIEDMONT INTERNATIONAL UNIVERSITY
420 S. Broad St. | Winston-Salem North Carolina 27101 | 1-800-937-5097
www.piedmontu.edu | Fax 336-714-8094
Pastoral Reference Form
Piedmont International University’s goal is to admit only those persons who are qualified to pursue and complete a comprehensive course of study. Please give us your candid estimate of this applicant by answering fully the questions below. This information will be kept strictly confidential.
(Full Name and Affiliation)