Application
Single 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.


Immediate relatives of the applicant, instructors and present students of Summit Pacific College are not eligible to complete reference forms.


MULTIPLE REFERENCE REQUEST

If you wish to send all three reference requests simultaneously, 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

SINGLE REFERENCE REQUEST

Use the form below to send or resend individual reference requests. When you are done, press submit and an email request for reference will be sent on your behalf.

Please be accurate. If the information provided here is not accurate, reference requests may not reach the intended recipient.
Items marked with * are required.

Type of Reference:  

Your Information

First Name:*  

Last Name:*  

Email:*  

Postal Code:*  


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.


If the submit button does not work, there is an error in your information. Please recheck.