Pastoral Reference Form

    Before Beginning

    TO THE PASTOR COMPLETING THIS FORM: You need to be over 21 years old, cannot be a relative, and must have known the applicant for at least one year. If you are the parent and pastor of the applicant, the youth pastor, elder or a leader in the church will be accepted. Please answer the following questions carefully.

    General Information

    How well do you know him/her?

    As far as you know, has s(he) been born again by faith in Jesus Christ?

    To what extent has the applicant engaged in the activities of your church?

    Personality and Character Assessment

    Check the rating that indicates your estimate. Additional remarks for fuller explanation will be most helpful to us.

    Spiritual Life







    Acceptance By Others


    Emotional Stability

    Personal Appearance

    Your Electronic Signature