Non-Catholic Confidential Reference
Name of Applicant
*
Telephone Number
-
Area Code
Phone Number
1. Do you know the applicant sufficiently to answer some questions about him/her?
Yes
No
2. Did you have an opportunity to interview the applicant?
Yes
No
3. If you know the applicant, in what context have you known the person? (check any item that applies)
Sunday Worship
Community Organizations (Guides/Scouts, etc.)
Church Organizations
Other
For what period of time have you known this applicant? From:
For what period of time have you known this applicant? To:
4. In your opinion, how would you rate the applicant in the following areas:
Rows
Satisfactory
Unsatisfactory
Unsure
Personal Christian Commitment:
Practice of Christian Faith:
Personal Involvement in Church Activities:
5. Pastoral Comments:
I provide my reference for this candidate.
I cannot provide a reference at this time.
I provide my conditional reference for this candidate and will review my reference in:
6 months
1 year
Date of Submission
/
Month
/
Day
Year
Date Picker Icon
Submit
Print Form
Should be Empty: