Pastoral Reference Form After the family interview is conducted, this form is to be filled out by the pastor. Pastoral Reference Form Name of Child Attending the School(Required) First Last Father's (or Legal Guardian's) Name First Last Mother's (or Legal Guardian's) Name First Last Pastor's Name and Title PastorProfessorDoctorReverendEvangelistProphetBishop Title First Last Does this family regularly attend your church? Yes No Does this family faithfully tithe? Yes No Do the parents serve at your church, and if so, in what capacity? Yes No What area of ministry do the parents serve?Does the prospective student attend children's church or youth group regularly? Yes No Are there any additional comments about the family you would like to share? If so, please explain below.If you were the admin of this school, would you accept the prospective child as a student? Yes No If no, please explain why.CAPTCHA Δ