Pastor's Reference

230 Jones St.
San Francisco, CA 94102
Phone: 415.292.1770
Fax:415.292.1770

To the applicant: This reference should be completed by your Pastor and submitted or printed and mailed from him to us. If your father is your Pastor, please refer the form to the Assistant Pastor or Youth Pastor in your church. If a person other than your Pastor (assistant, Youth, or College Pastor) completes the form, an explanation should be provided. 

To the Pastor: the above applicant has applied to become a disciple in the City Impact School of Ministry program. We would appreciate it if you would supply the information requested on this form in order to aid us in evaluation the applicant's suitability to work with City Impact. The applicant cannot be considered until all reference forms are received; therefore your speedy completion of this form would be very much appreciated. This reference will be kept confidentially. Thank you for your assistance.  

Applicant's Name *
Applicant's Name
Your Name *
Your Name
Phone
Phone
How well do you know him/her? *
Evaluation of Applicants emotional maturity: *
Date *
Date