Pastoral Reference Form

As part of our admission process, we require our students to be active members, leaders, or developing leaders in their prospective churches.

Please evaluate the applicant in the following areas to the best of your ability. Thank you in advance for providing this information and please support this person through prayer and counsel as he/she begins their course of study and serves our Lord according to His call.

Please complete all requested information.

Name of Applicant:

How long have you known applicant?

How well do you know the applicant?

How often does applicant attend church?

How many years has the applicant been a member in good standing?

Please describe in what capacity the applicant has served your congregation.

What are the strengths and spiritual gifts of the applicant according to your observations?

Do you believe the applicant to be a person of strong morals, Christian commitment, and character?

YES          NO

If necessary, please add any additional comments about applicant here.

Church Information:

Church Name





Phone number (ex: 555-555-5555)


Please sign this form by typing your name and typing the date in the spaces provided below. Your signature validates this reference and indicates that you have completed the information and that the information is true.


Date (ex: 01/01/08)

Click only once. The process may take a few moments.

Do not close this window until you see the confirmation.

You may print the confirmation for your records.


412-247-9010  |  7418 Penn Avenue  |  Pittsburgh, PA 15208