Ministers Reference Form – Southern New England Ministry Network of the Assemblies of God

Thank you for your help!

We were referred to you as one acquainted with the applicant and competent to express a trustworthy opinion regarding the applicant’s qualifications to fill the sacred trust as a minister of the Gospel. We value your judgment and appreciate your cooperation. Thank you for taking the time to complete this form as fully as possible. Your reply will be regarded as confidential. (Note: The Authorization and Release forms signed by the applicant and spouse are on file in the district office. These guarantee that the applicant will not be aware of your responses.)

Applicant's Name *

First

Last

Your Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Extension

Your Email *

Name of Church

1. How have you known the applicant? *

Personally
Socially
Casually
Professionally

2. Are you related to the applicant? *

3. How long have you known the applicant? *

0-1 year
1-3 years
3-5 years
5-10+ years

4. How frequently does the applicant attend church? *

Regularly
Occasionally
Seldom
Don't Know

6. In what ways has the applicant served or volunteered in ministry?

7. In your observation, does the applicant have a consistent devotional life? *

Yes
No
Don't know

8. Does the applicant give evidence of living a spirit-filled life? *

Yes
No
Don't know

9. Does this applicant have a record of consistent tithing support of the local church? *

Yes
No
Don't Know

10. If you do not have knowledge of their tithing participation, who would have knowledge of this record?

11. What are the applicant's greatest strengths as it relates to their ministry role?

12. What are the areas that the applicant needs to grow?

16. Please rate the applicant in the following categories:

18. Was the applicant's call into ministry evident to you? *

20. Would you without hesitation vouch for and recommend that the applicant be granted credentials for ministry? *

Yes
With Reservation
Not at this time

Please fully explain your answer. If you said, “Not at this time” please articulate what the applicant would need to do for you to say “yes.” *

21. Is there anything else about the applicant that we should consider?

INFORMATION RELATIVE TO APPLICANT'S SPOUSE

Applicant's Marital Status:

Married
Not Married

Signature *

By typing my name here, I am digitally signing this document, I hereby certify that all statements provided are true and correct.

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