MULTIPLE REFERENCE REQUEST
INFORMATION COLLECTION POLICIES

Information you provide is subject to restrictions enforced by Summit Pacific College's Policy to Protect Personal Information and will be used exclusively for Summit purposes. It will not be shared with or sold to other organizations. You may view our privacy commitment and policy here: Privacy Policy.

SINGLE REFERENCE REQUESTS

If you need to send or resend individual reference requests, please go to this page

If you need assistance: Phone 1-800-976-8388 or (604) 853-7491 (Monday to Friday, 8:30 am to 4:30 pm Pacific time) or email webmaster@summitpacific.ca

Please use the form below to provide contact information about your references. When you are done, press submit and email requests for references will be sent on your behalf. Please be accurate. If the information provided here is not accurate, reference requests may not reach the intended recipients.
Items marked with * are required.
Your Information

First Name:*  

Last Name:*  

Email:*  

Postal Code:*  


Pastoral Reference Information

First Name:*  

Last Name:*  

Title:  

Email:*  


Employer/Teacher Reference Information

First Name:*  

Last Name:*  

Title:  

Email:*  


Christian Friend Reference Information

First Name:*  

Last Name:*  

Title:  

Email:*  


Waiver Statement: By submitting the data on this form, I willingly waive any right to have access to these confidential references with the understanding that they will not be released to anyone other than to the Admissions Committee.


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