Pastoral Recommendation Form

Applicant Information

Name of Prospective Student*

First Last

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Prospective Student Email

Your Information

Please fill out your information below.

Your Name*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Applicant Review

To the Pastor: The above named is applying for admission to REVIVE School of Transformation. Serious consideration will be given to your comments. We appreciate your help in this matter and will keep any information you supply in confidence. We request you return this form within one week of receiving it. Thank you for your assistance!

1. How long have you known the applicant?*

In what capacity?*

2. How well do you know the applicant?*

Very Well, pastoral leadership
Fairly Well, numerous personal contacts
Casually, few personal contacts
By name / sight

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

Yes
No
Unsure

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

Enthusiastic, deeply involved
Cooperative, usually willing to help
Seldom participates, although attends regularly
Attends irregularly, shows little interest

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

6. What do you consider to be the applicant's strengths?*

7. What do you consider to be the applicant's weaknesses?*

8. To your knowledge, does the applicant (Check if Yes):*

Tobacco Use
Drink Alcohol
Illegal Drug Use
None of the above

9. Please describe some factors that might affect the applicant's success at REVIVE School of Transformation:*

10. The applicant's influence on their peers is:*

Positive
Neutral
Negative

11. Please evaluate the applicant in regard to the following categories:*

	Excellent	Above Average	Average	Below Average	Poor	No Chance to Observe
Response to authority
Reliability
Maturity
Emotional Stability
Motivation
Judgement
Oral Expression
Interpersonal Relations
Compassion
Work Habits
Personal Appearance
Leadership
Integrity

12. Please provide any further comments that may help us in our evaluation:

Name

This field is for validation purposes and should be left unchanged.