Pastoral Reference

"*" indicates required fields

Applicant's Name*

Pastor's Name*

Pastor's Email*

Pastor's Phone*

(a) How long have you known the applicant?*

(b) How long has the applicant attended this church?*

(d) Has the applicant been born again of the water and the Spirit?*

(e) Does the applicant live a holy and separated lifestyle, according to the Word of God?*

(f) Is the applicant faithful in tithing, generosity, and serving the local church?*

(g) Have you had to deal with any problems or issues as a direct result of the applicant's counseling methods?*

(g) Please Explain*

(h) Do you have any spiritual concerns regarding this applicant and their service to the Center for Apostolic Counseling?*

(h) Please Explain*

(i) Do you have any concerns regarding the character of this applicant?*

(i) Please Explain*

(j) Have you referred individuals to this applicant for counseling?*

(k) Overall, would you recommend the applicant?*

Other Comments

Pastoral Signature*

By checking this box, I am acknowledging that all information I provided is accurate to the best of my knowledge.

Phone

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