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Community internship pastoral reference form
All information gathered through the screening process will be handled confidentially.
Name of Internship Applicant
Name of Pastoral Reference
Church Name
Reference Address
Phone
Email
How long have you known the applicant?
In what capacity do you know the applicant?
Does the applicant know Christ as personal Savior and Lord?
SELECT ONE
Yes
No
Does the applicant demonstrate Christ in his/her lifestyle?
SELECT ONE
Yes
No
Please describe.
In your association with the applicant, what level of commitment have you seen exemplified?
SELECT ONE
Faithful
Inconsistent
Other
Describe the applicant's leadership.
SELECT ONE
Prefers to follow
Makes some effort to lead
Good ability
Exceptional ability
What are the applicant's strong points? Include special abilities.
At Community of Faith, we value humility, honor, grit, and relationship as a staff. Please describe how you have seen each of these attributes or the lack there of in the applicant.
Humility - honest, coachable, strong team player, aware of others' needs
Honor - respect with words and actions, willing to have tough conversations, have others' backs
Grit - operates in excellence, embraces what's hard, prepared, resilient, intentional, steadfast
Relationship - takes time for others, allows for others' mistakes, has opinions but not opinionated, vulnerable and honest
Pastor Approval
SELECT ONE
Yes
No
Has the applicant discussed or counseled with you concerning his/her interest in participating in the Community Internship program?
SELECT ONE
Yes
No
Thank you for completing the Internship Pastoral Reference Form! This is an invaluable resource as we consider the applicant. Please feel free to add any additional comments that may be helpful.
Electronic Signature
Date
Submit Reference Form