CVISSM - Pastor's Reference - Eagle Mountain Church

Pastor's Reference

To the Applicant: This reference should be completed by your Pastor or a person in a leadership capacity within your church. If your Pastor is your parent or spouse, ask another member of the church’s Pastoral staff to complete this form.

To the Pastor: Please complete this form for each applicant who is requesting a reference. Serious consideration will be given to your comments. We appreciate your help in this matter and will keep any information you supply in confidence within the school leadership team. Thank you for your assistance.

Questions? Contact [email protected]

* Indicates required field

Name of Student Applicant *

First

Last

Name of Pastor *

First

Last

Name of Church *

Denomination *

Pastoral Position *

Email *

Phone Number *

How long have you known the applicant? *

In what capacity? *

How well do you know him/her? *

To your knowledge, has the applicant made a personal commitment to Jesus Christ? *

Yes No

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

In what form of Christian service has the applicant participated regularly? *

The applicant’s influence on his or her peers is: *

Positive Neutral Negative

Please evaluate the applicant in regard to the following categories.

Response to authority: *

Reliability: dependability, responsibility: *

Maturity: personal development, ability to cope with life situations: *

Emotional stability: reaction to stress, poise, mood stability: *

Motivation: genuineness and depth of commitment: *

Judgment: ability to analyze a problem: *

Oral expression: clarity, coherence: *

Interpersonal relations: rapport, cooperation, attitudes toward supervision: *

Empathy: sensitivity to the needs of others: *

Work habits: stamina, conscientiousness, perseverance, resourcefulness, initiative: *

Leadership: creative thought, curiosity, self-confidence: *

Personal appearance: cleanliness, grooming: *

Integrity: honesty, moral character: *

Please add any further comments you may have which would help in our evaluation: *

Submit