Pastoral Reference Form Home > Pastoral Reference Form Applicant's Name(Required) Applicant's First Name Applicant's Last Name This field is hidden when viewing the formApplicant's Email(Required) Position Applying For(Required)Position Applying ForEarly ChildhoodElementaryMiddle SchoolOther DepartmentWhich Other Department are you applying for?Pastor, the individual named below has applied for a position in our school. Please fill out this Pastoral Reference Form at your earliest convenience.How long have you known this applicant?(Required)Are you currently his/her pastor or associate pastor?(Required)Are you currently his/her pastor or associate pastor?YesNoHow long have you been his/her pastor or associate pastor?(Required)How would you evaluate him/her in regards to his/her personal relationship with Christ?(Required)How would you evaluate him/her in regards to his/her involvement in ministry opportunities?(Required)Does the applicant attend services weekly?(Required)Does the applicant attend services weekly?YesNoUnsureIs this applicant a member in good standing at your church?(Required)Is this applicant a member in good standing at your church?YesNoPlease explain why this applicant is not a member in good standing at your church.Actively involved/serving in church(Required)Actively involved/serving in churchExcellentGoodAveragePoorNo Basis or JudgmentCompletes given or accepted tasks(Required)Completes given or accepted tasksExcellentGoodAveragePoorNo Basis or JudgmentInteracts well with others(Required)Interacts well with othersExcellentGoodAveragePoorNo Basis or JudgmentDemonstrates spiritual maturity in judgements(Required)Demonstrates spiritual maturity in judgementsExcellentGoodAveragePoorNo Basis or JudgmentMaintains confidentiality(Required)Maintains confidentialityExcellentGoodAveragePoorNo Basis or JudgmentUses diplomacy and tact(Required)Uses diplomacy and tactExcellentGoodAveragePoorNo Basis or JudgmentControls demeanor under stress(Required)Controls demeanor under stressExcellentGoodAveragePoorNo Basis or JudgmentIs appropriate in their dress and appearance(Required)Is appropriate in their dress and appearanceExcellentGoodAveragePoorNo Basis or JudgmentExhibits compassion with hurting people(Required)Exhibits compassion with hurting peopleExcellentGoodAveragePoorNo Basis or JudgmentDemonstrates Christian commitment(Required)Demonstrates Christian commitmentExcellentGoodAveragePoorNo Basis or JudgmentDemonstrates spiritual leadership(Required)Demonstrates spiritual leadershipExcellentGoodAveragePoorNo Basis or JudgmentAdditional comments:Pastor's Name(Required) Pastor's First Name Pastor's Last Name This field is hidden when viewing the formPastor's Email(Required) Pastor's Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Pastor's CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Pastor's Phone(Required)Today's Date(Required) MM slash DD slash YYYY Pastor's Signature(Required)Please list another individual who knows this applicant well and could serve as a secondary reference.Second Reference's Name(Required) First Last Second Reference's Phone(Required)
