Pastoral Reference - STUDENT

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Pastoral Reference

Please fill in all of the boxes below. Please be objective in your answers. This information will give insight to our admissions committee on this individual's ability to handle the long hours and heavy workload in the classroom, as well as handling relationships and responsibilities outside of the classroom.

* Indicates required field

Full Name of Applicant *

First

Last

[object Object]

Permission to Share with Applicant: *

Yes, my comments may be shared with the applicant. No, I prefer that my comments not be shared with the applicant.

How long have you known the applicant? *

The applicant's relationship with others is generally *

Poor Fair Good Very Good Excellent

What is the applicant's attitude toward authority? *

Poor Fair Good Very Good Excellent

When asked to follow direction from God-ordained authorities, this applicant generally responds with *

Respectful Compliance Outward Compliance with a Negative Attitude Willful Non-compliance

What are the applicant's strengths (include spiritual gifts)? *

What are the applicant's weaknesses? *

What is the applicant's general outlook? *

Very Negative Slightly Negative Slightly Positive Very Positive

Is the applicant active in the church? *

Yes No

Comment *

Does the applicant work well with others? *

Yes No

If no, please comment *

How teachable is the applicant? *

Poor Fair Good Very Good Excellent

If fair or poor, please comment: *

How would you rate the applicant's leadership ability? *

Poor Fair Good Very Good Excellent

How would you rate the applicant's leadership ability?

How would you rate the applicant's standard for Christian living? *

Poor Fair Good Very Good Excellent

How would you rate the applicant's potential in ministry? *

Poor Fair Good Very Good Excellent

How would you rate the applicant's dependability? *

Poor Fair Good Very Good Excellent

Would you recommend that we accept this applicant? *

No Questionable Yes (Part Time) Yes (Full Time)

How would you rate the applicant's ability to communicate? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's ability to develop relationships? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's attitude in confrontations? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's tactfulness/sensitivity? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's drive/initiative? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's mental alertness? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's consistent spiritual walk? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's knowledge of the Bible? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's sense of call or mission? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's submission to authority? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's self-awareness? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's freedom from worry/anxiety? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's discretion with the opposite sex? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's marital harmony? *

Not Known Poor Below Average Average Above Average Excellent N/A

How would you rate the applicant's self-discipline? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's conscientiousness? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's perseverance? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's common sense of judgment? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's flexibility? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's decisiveness/follow through? *

Not Known Poor Below Average Average Above Average Excellent

How would you rate the applicant's servant heart? *

Not Konwn Poor Below Average Average Above Average Excellent

Your Information

Name *

First

Last

This will be the name of the person for whom you are giving a reference.

Your position at the applicant's church? *

Pastor Elder Deacon

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

May we contact you? *

Yes No

Your Signature *

I, the above-signed hereby acknowledge and agree that the information contained in this pastoral reference form has been entered by me or under my direction.

Date *

Are you interested in receiving further information about Brookes Bible College? *

I am a church/ministry leader or teacher and would like materials for reference I am personally interested in attending Brookes I am an alumnus of Brookes I would like to know how i can support the ministry of Brookes (prayer partner/promotion/scholarship funding) I am not interested

Submit

Established 1909

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10257 St. Charles Rock Road
St. Louis, MO 63074 Map

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Fax: 314.773.7471
Email: office@brookes.edu
Phone: 314.773.0083

Degree programs

Bachelor of Theology
Bachelor of Biblical Studies (ONLINE)
Associate of Biblical & Ministerial Studies
Associate of Biblical Counseling & Practical Theology

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About
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