Pastor Recommendation - Student Name

• Your Name:
  Referral Name
• Your Email:
  Referral Email
• Student Name:
  Student Name
• Parent Name:
  Parent Name
• How long have the parents attended your church? *
• Are they regular attendees (at least 3 times per month)? *
  Yes   No
• Are they active members of your church? *
  Yes   No
• Have the applicant's parents held a position of responsibility in your church? *
  Yes   No
• Please explain.
• Is the applicant active in the youth/children’s program of the church? *
  Yes   No
• Do you consider the parents open to spiritual instruction? *
  Yes   No
• What is your understanding of the parents' relationship with God? *
• Are there any concerns that the school should know which could either positively or negatively influence the decision of our administration? *
  Yes   No
• Please explain. 
• Do you recommend this family to Christ Classical Academy? *
  Yes   No
• Additional comments:
• Position/Title: *
• Denomination: *
• Church Name: *
• Church Address: *
• Phone Number: *
• Signature: *
  Date: 05/06/2024

Thank you for your time and effort in completing this evaluation. Please review your answers carefully before submitting the form. Once the form has been submitted it will be sent directly to our admissions office.