Reference from Church Pastor/Minister

Confidential Document

Name of person giving reference*

Position of Person giving the Reference*

Name of applicant family*

Name of student*

First Last

Name of Church*

Address of Church*

Street Address Address Line 2 City ZIP / Postal Code

Referee’s phone number*

Denomination

Referee's Email*

Church attendance - Father/Husband*

Church attendance - Wife/Mother*

Church attendance - Children*

Do you have any reservations about this family enrolling at Rolleston Christian School?*

Comments (including ministries)

The above information is true and correct to the best of my knowledge*

Name

First Last