Senior Pastor Reference Form

“I vouch for him that he is working hard for you and for those at Laodicea and Hierapolis.” Colossians 4:13 (NIV)

Someone from your ministry has made application for ministerial credentials with the Southern New England Ministry Network of the Assemblies of God. As the applicant’s Pastor, and one acquainted with their ministry, we ask your honest opinion regarding their qualifications to fill the sacred trust of 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. Feel free to attach extra sheets if needed to fully answer any of the questions.


If you assigned the applicant responsibilities would you indicate his/her response by checking the appropriate number on the scale below? (1=Very, 5=Not Very)


Information relative to the applicant's spouse

Pastor's Information

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