Purchase Area Chrysalis Church Reference Form
This form should be completed by the applicant's pastor, youth pastor or someone from the applicant's church who can speak to their faith and journey with Christ.
Name of Adult Completing the Form
*
First Name
Last Name
Candidate's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How long have you known the candidate
*
Chrysalis is currently for youth who are currently in High School through their Freshman year of college. Chrysalis is a three-day Christian experience designed to build youth leadership in local churches and is for youth who want to strengthen their relationship with Christ. Why do you think this person would be a good candidate?
*
It is important that the adult leadership of Chrysalis be aware of any physical, spiritual, or emotional problems that this person may have. Please provide comments that will help us to understand and deal sympathetically with him or her. Comments about the person’s home life, personality, and present relationship with Christ would greatly help. These comments are held in the strictest confidence.
*
Signature
*
Thank you for your help. Please help us pray for all the youth and team members of Chrysalis Flight. If you have any questions or for more information, please contact the Purchase Area Registrar, Erin Beliles, at (270) 210-0508
Continue
Continue
Should be Empty: