River City School of Leadership
Pastoral Reference
Student Information
Student's First Name
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Student's Last Name
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Your Contact Information
Your First Name
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Your Last Name
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Church Name
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Your role at the church
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Email Address
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Mobile Number
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Personal Connection
How long have you known the applicant?
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How long has he/she been in your church?
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How well do you know him/her?
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To the best of your knowledge, has the applicant made a personal commitment to Christ?
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Church Engagement
To what extent in the applicant engaged in the activities of your church?
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Is irregular in engagement
Seldom participates in activities
Is cooperative and usually willing to help in the various activities
What is the attendance of the applicant for Sunday church services?
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Seldom attends (less than 1 Sunday a month)
Attends Irregularly (1 Sunday a month)
Attends Somewhat Consistently (2 Sunday a month)
Attends Consistently (3-4 Sundays a month)
In what capacity has the applicant served within the church?
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How would you rate the applicant's leadership?
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How would you rate the applicant's responsibility?
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How would you rate the applicant's loyalty to the church?
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How would you rate the applicant's commitment?
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In your opinion, does the applicant possess any outstanding abilities? Please describe.
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Character
Would you personally recommend & have confidence in the applicant's integrity?
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Would the applicant positively contribute to the overall classroom experience?
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Final Recommendation
Would you recommend the applicant to attend River City School of Leadership
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Yes
No
If the student completes the first certificate and continues to the second certificate, would you consider this student for our Hermeneutics and Homiletics courses?
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Yes
No
If you would like for the student to take these classes if they end up working on their second certificate, then we will mark them as a candidate for them.
Typed Signature
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Today's Date
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