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.


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Church: (Full Name and Affiliation)
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