Northridge Community School

Pastoral Reference

To be completed by anyone with a significant leadership position at the applying family's church (e.g. pastor, Bible study leader) who knows them well. This recommendation will remain confidential.

Applicant's Family Name *

Applicant's Address

Section One

Your Assessment

How long have you known this family? *

How well do you know this family? *

Do you believe the husband and wife know Christ as their personal Savior and Lord?

Yes No Unknown

Does the family demonstrate the lordship of Christ in their lifestyle? Please describe how.

Is the husband/father the head of the household? Please explain.

What spiritual goals do you believe the family has?

Spiritually speaking, do you believe this family would be an asset to the ministry of Northridge Community School? Why?

Section Two

Rate the Applicant Family

1 = Superior 2 = Above Average 3 = Average 4 = Deficient

Quality	1	2	3	4

Section Three

Recommendation

I recommend this family. I recommend this family with reservations. I do not recommend this family.

Is there anything else you feel is important for our admissions committee to know?

Section Four

Your Information

Your Name *

Position *

Church Name *

Church Address

May we contact you with additional questions?

Yes No

Contact Number

This reference will be reviewed confidentially by the admissions committee.

Passcode Required

Pastoral Reference

Your Assessment

Rate the Applicant Family

Recommendation

Your Information

Reference Received