PASTORAL REFERENCE

Applicant’s Name Grade

Parents

Dear Pastor,

This student is seeking admission to Faith Christian School, an independent, parent-governed, nondenominational school. The mission of the school is to offer an exemplary educational experience which supports the Christian family and provides teaching based on Biblical values.

Please complete this reference form as it pertains to this family and return it to the school. All responses will be treated with complete confidentiality and will be used only in serving the family as a part of our school community.

1. FAMILY’S CHRISTIAN COMMITMENT: _____ evident and beyond question

_____ no evidence of commitment

_____ do not know

2. FAMILY’S CHURCH ATTENDANCE: _____ faithful and regular

_____ occasional

_____ infrequent

_____ never

3. FAMILY’S CHURCH RELATIONSHIP: _____ members in good standing

_____ not members, but exhibit commitment

_____ not supportive

4. Have any members of this family held a leadership position in the church? Please describe:

5. Has the family used any special talents within the church body? Please describe:

6. Is the student applicant active in the Sunday School and/or youth program of the church?

7. Do you consider the student applicant open to spiritual instruction?

8. Do you recommend this student applicant for admission to Faith Christian School?

9. Are you related to the applicant?

10. How long have you known the applicant and his/her family?

Pastor’s Signature

Church Name & Address

City State Zip

Phone ( ) Date