Pastoral Referral Form
How well do you know him/her?
To the best of your knowledge is the applicant born again?
To the best of your knowledge is the applicant filled with the Holy Spirit with the initial evidence of speaking in other tongues?
Please assess the applicant in regard to the following categories:
Motivation: Genuineness and depth of commitment
Judgment: ability to analyze a problem
Oral expression: clarity, cohesion
Interpersonal Relations: rapport, cooperation, attitudes toward supervision
Empathy: sensitivity and compassion to the needs of others
Work Habits: Stamina, conscientiousness, perseverance, resourcefulness, and initiative.
Leadership: Creative thought, curiosity, self-confidence
Personal appearance: cleanliness, dressing
Integrity: honesty, moral character
To what extent is the applicant engaged in the activities of your Church?
How hard working is the applicant?

This question is only applicable if the applicant indicated that he/she intends to take instruction along
the clergy path. If the applicant indicated that he/she intends to take instruction along the laity path,
then proceed to next Question.

From your personal knowledge of the applicant, would you?
How would you assess the applicant emotionally?
The applicant’s spiritual influence on others is:
Does the applicant associate with people of moral character?
Does the applicant have a good home life and/or marriage?
To your knowledge, does the applicant use illegal drugs?

YOUR PERSONAL DETAILS

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