Church Reference

Pastoral Recommendation

Each applicant for admission must submit a pastoral recommendation. Please complete this form carefully and in private. We will hold your comments in the strictest confidence. We ask that this completed form not be given to the applicant, but be returned directly to us.

Applicant First Name *

Applicant Second Name

Applicant Last Name *

Applicant's Email Address *

How long have you known the applicant? *

Has your relationship been: *

Please check the area[s] of the applicant’s involvement in the church: *

Please evaluate the applicant’s character

Financial Responsibility *

Integrity *

Dependency *

Cooperativeness *

Academic ability *

Ability to work with others *

Personal cleanliness *

Acceptance of instruction or discipline

Moral character *

How industrious is the applicant as a student or worker? *

Please check terms which best describe the applicant’s attitude to church: *

Does the applicant respond well to authority? *YesNo

The applicant’s spiritual influence on others is: *PositiveNeutralNegative

With what sort of companions does the applicant usually associate? *

Have you ever known the applicant to engage in questionable moral conduct? *YesNo

[If yes please explain]

Please describe the applicant’s home life and marriage: *

Have you noticed physical weakness or emotional problems that would hinder the applicant from school work? *

Comments:

To your knowledge does the applicant: Smoke, Drink or Use illegal drugs? *SmokeDrinkUse illegal drugs?Not to my knowledge

What do you consider the applicant’s strong points? *

What do you consider the applicant’s weak points? *

Please share on a separate sheet any additional information to help us evaluate the applicant *

How much individual attention and/or counselling does the applicant need to maintain a victorious Christian walk *

[If you checked any of the last three boxes, please explain briefly]

Knowing this person as you do, would you *

Prefix

First Name *

Middle Name

Last Name *

Pastor's Address

Apartment, suite, etc

City

County

Postal Code

Country

Date *

Your Email Address *

Your Phone Number *

WOULD YOU LIKE TO BE ADDED TO OUR CHURCH MAILING LIST?YesNo

Pastoral Recommendation

Each applicant for admission must submit a pastoral recommendation. Please complete this form carefully and in private. We will hold your comments in the strictest confidence. We ask that this completed form not be given to the applicant, but be returned directly to us.

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