KHHC Confidential Pastoral Form
The family requesting a Pastoral Reference has applied for admission. We have very high standards for admission and a great desire to provide the best possible Christian Education. All co-op families are required to have this form on file before being considered for admission. Please complete this form to the best of your knowledge. Your prompt attention is appreciated. Serious consideration will be given to your comments. We appreciate your help in this matter and will keep any information you supply in confidence.
The person who should complete the form should be someone who can speak to the family's Christian testimony and growth. An individual who has known the family for over one year and is not a relative.
Applicant's Name (Family Name) *
Your answer
How long has this family attended your church? *
Your answer
In what capacity and for how long have you known the family? *
Your answer
In what capacity and for how long have you known the student/s? *
Your answer
Please describe the church activities in which these applicants participate (choir, youth group, bible study, etc.) *
Your answer
What is the family's personal religious experience, as you perceive it? (Please select one) *
Required
Please describe specific concerns or highlights you have on the spiritual growth and character of the parents. *
Your answer
Please describe any specific concerns or highlights you have on the spiritual growth of the student/s. *
Your answer
For Middle or High School applicants: Please comment on the applicant's relationship with his/her parents. *
Your answer
Please describe the relationship between the family as a whole. *
Your answer
Have you even known any of the family members to smoke, abuse alcohol, use drugs, or steal? If yes, please elaborate. *
Your answer
Please add any further information that you think would be helpful to us. *
Your answer
Please check the appropriate box *
Required
Your name *
Your answer
Your phone number *
Your answer
Your position *
Your answer
Church denomination affiliation *
Your answer
Church address *
Your answer
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