Pastoral Refernce Form

Pastoral Reference Form

The couple who sent you this has applied to serve as The Marriage Hub Marriage Coaches for couples in crisis; and are asking you to provide a reference. We value your input into this process because we are an evangelical ministry that seeks to help couples in crisis renew their relationships with God and each other. So please be honest and fair in your comments to help us assess their character and ability to serve couples with us. We will keep your answers and recommendation confidential. Thank you for taking the time to do this.
Couple's Name*
Your Name*

First NameLast Name
Your title at Church*
Name of Church*
Email*
example@example.com
Church Phone Number*
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church's Website*
How long have you know the couple?*
Years
How well do you know them?*

Very WellFairly WellCasuallyNot Well
How long have they been regularly attending your church?*
Years
Do you believe, and see evidence, that both of these spouses know Jesus Christ as their personal Lord and Savior? *
_____Yes _____No Comment:
Does this couple model a Biblical moral lifestyle?*
_____Yes _____No Comment:
How would you describe their marital relationship?*

PoorFairGoodVery GoodExemplary
Would you recommend this couple for a ministry leadership position in your church?*
_____Yes _____No Comment:
What, if any, has their involvement been with ministry in your congregation?*
Please comment on their performance
What do you see as this couples’ strengths when it comes to leading a small group of 3 couples in crisis?*
What do you see as possible concerns or weaknesses of their ability to lead a small group of couples in crisis?*
(physically, emotionally, or spiritually)
Does this couple exhibit any kind of prejudice? Race, religion, economic, etc?*
(physically, emotionally, or spiritually)
I _____ this couple for a leadership role in The Marriage Hub's marriage ministry.*

Strongly recommendRecommendDon't Recommend
Signature*

Clear
We will keep this information confidential. Thank you for filling out this reference.
Should be Empty:

Pastoral Reference Form