Pastoral ReferencePlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant: Please check one box and sign before disseminating this form.I waive my right to view this completed form.I do not waive my right to view this completed form.Applicant's Name *FirstLastPosition DesiredDetails of RequestPastor, the individual named below has applied for a position in our school. Please fill out this Pastoral Reference Form and mail or fax it to the attention of the Superintendent of Liberty Christian School. Feel free to attach an additional paper if needed.1. How long have you known this applicant? *2. Are you currently his/her pastor or associate pastor? If so, for how long? *3. How would you evaluate him/her in the following areas:3a. Their personal relationship with Christ. *3b. Their involvement in ministry opportunities? *Does the applicant attend services weekly? *--- Select Choice ---YesNoUnsurePlease choose the appropriate answer for each question below.Actively involved/serving in church *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementCompletes given or accepted tasks *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementInteracts well with others *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementDemonstrates spiritual maturity in judgments *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementMaintains confidentiality *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementUses diplomacy and tact *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementControls demeanor under stress *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementIs appropriate in their dress and appearance *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementExhibits compassion with hurting people *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementDemonstrates Christian commitment *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementDemonstrates Spiritual leadership *--- Select Choice ---ExcellentGoodAveragePoorNo basis for judgementIs this member in good standing at your church?YesNoIf no, please explain.Is the applicant a regular or faithful attendee? *Any additional comments or information:Your informationName *FirstLast involved/serving under faithful Email *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSignature Clear SignatureToday's date * Please list another individual who knows this applicant well and could serve as a secondary reference.Name *FirstLastPhoneEmail *Thank you for your time!Send Request
