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Resources Pastoral Reference Form

Pastoral Reference Form

To be filled out by the pastor of a family applying to WRCA.

FAMILY REQUESTING PASTORAL REFERENCE:

Family Name

Parent 1 Email(Required)

At least one parent email address is required in order for us to connect this form with the correct application.

Parent 2 Email (optional)

Thank-you for taking the time to fill out this Pastoral Reference Form for this family seeking to enroll their child(ren) at White Rock Christian Academy. Their application will not be processed further until this Pastoral Reference Form is submitted. Your input is invaluable, and we appreciate your time and effort.

How long have you known this family and in what context?(Required)

How well do you know the family?(Required)

Does the family attend church regularly (at least 3 times per month)?(Required)

Yes	No	Unsure

Is/are the parent(s) active in church ministries? Please specify.

What is your understanding of the family's relationship with God?

Would this family be supportive of White Rock Christian Academy's Standard of Conduct(Required)

Yes	No	Unsure	Can’t comment

Do you recommend this family for acceptance to White Rock Christian Academy?(Required)

Yes	No	With reservation

Recommendation comments (optional):

Pastor's Information(Required)

First Name Last Name

Position held:(Required)

Church(Required)

Phone

Email(Required)

Signature