Family Pastoral Reference

Student(s) Name(s)*

Parent(s) Name(s)*

Dear Pastor,
The family and students listed above are seeking admission to Summit Classical Christian School, a private classical Christian school. The mission of the school is to work with parents to develop Godly, responsible, academically prepared students, capable of clearly articulating a Biblical worldview.
Please complete this reference form as it pertains to this family. All responses will be treated with complete confidentiality and will be used only in serving the family as a part of our school community.

Christian Commitment*

Evident and beyond questionNo evidence of commitmentSomewhere in between - Please comment below

Comment on Christian Commitment

Church Attendance*

faithful and regularoccasionalinfrequentnever

Christian Relationship*

members in good standingnot members, but exhibit commitmentnot supportive

Have any members of the family held a leadership position in the church? Please describe.*

Has the family used any special talents within the church body? Please describe.*

Detail the family's regular involvement in church activities.*

Do you consider the family open to receiving spiritual instruction?*

Do you recommend this family for admission to Summit Classical Christian School?*

How long have you known the family?*

Are you related to the family?*

Do you have any other comments you would like to make?*

Pastor's Name*

First NameLast Name

Date*

Date

Church*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code