Household Referral Form

Household Program

Referral Form
The Saint Paul's Outreach (SPO) Household Program is a commitment that allows young adults to live in an intentionally Christian environment patterned after the life and teaching of the Catholic Church. It is a place where Christians can continue to receive formation and grow in discipleship and community living. At the heart of the commitment are shared relationships, common meals, prayer together, service and outreach to the campus. Each SPO Household is led by a Household leader, usually one of SPO’s staff or senior students.

You can find out more about SPO at www.spo.org/ourmission.

Due to the nature of this commitment, a careful assessment of the applicant’s strengths and weaknesses is critical to the application process. Thank you so much for your time and effort in giving us an honest representation of your impression of this candidate. We may contact you in the future for more information. Please know that all information included in this reference form is confidential and will not be shared with the applicant.

I. Applicant's Info
Name and email for student or young adult for whom you are providing a referral. We will ask for your info on the next page.
This reference is for:*

First NameLast Name

III. Relationship to the Applicant
What is your relationship to the applicant?*

Employer/SupervisorTeacher/ProfessorYouth Minister/DREPriestMentorOther
How long have you known the applicant?*
How frequently are you in contact with the applicant?*
How well do you know the applicant?*
How familiar are you with the SPO Household Program? With the work of SPO? Please explain below.*

Additional Info
Is there anything else you would like to share about this applicant as we consider them for the Household Program? If no, please continue to the next page.

Electronic Signature
Your Name:*

First NameLast Name
Acknowledgement*

I have answered the previous questions to the best of my ability.
Signature*

Clear
Today's Date*

MonthDayYear
Date
Thank you for taking time to complete this reference for the Household Program!
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Household Program