Pastor Referral Form
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TO THE PARENT:
Please send the link to this form to the student's Pastor, Youth Director, Sunday School teacher, or some other church member who knows the student well.
The referral form MUST be filled out by the pastor and come from the pastor's email address and not from the parent's.
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| Student's Name
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| Student's Current Church
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| Student's Current Grade
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| Church's Phone
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| Pattern of Church Attendance
| Regular Frequent Sometimes Seldom Not at all
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TO THE PASTOR/CHURCH MEMBER COMPLETING THIS RECOMMENDATION:
The student listed above is applying for admission to Northlake Christian
School in Covington, Louisiana. Northlake Christian School is a non-denominational coeducational Christian school with a college-preparatory emphasis.
The school seeks to enroll students who have demonstrated potential for academic success, integrity, good citizenship and spiritual sensitivity.
Because you are someone who knows the applicant well, we appreciate your thorough, candid appraisal. This confidential form, along with other items of assessment, will be used by the Admissions Office in evaluating the applicant. Thank you for taking the time to complete this form.
Also, we appreciate your promptness as there are admission deadlines approaching.
Parents will not see the results of this form but it will emailed directly to Northlake Christian School Admissions.
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| Name of Pastor Completing this form
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| Pastor's Email (in case we have further questions)
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| For how long have you known this applicant?
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| What is your relationship to this applicant?
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| What words immediately come to mind concerning this student:
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| What words immediately come to mind concerning this student's family?
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| Describe any special talents, interests or abilities of this applicant.
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| How would you assess the applicant's spiritual growth and development? For example, his/her regard to Scripture, involvement in activities, areas of service, church attendance, evident relationship with Christ, etc....
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Social Skills
Please circle the numbers that best represent the student. We welcome your comments.
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| Integrity/Ethics
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| Additional Comments
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| Citizenship
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| Additional Comments
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| Spiritual Motivation
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| Additional Comments
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| Intellectual curiosity
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| Additional Comments
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| Creativity
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| Additional Comments
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| Leadership Ability
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| Additional Comments
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| Able to think and act independently
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| Additional Comments
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| Compassionate
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| Additional Comments
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| Willing to work with others
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| Additional Comments
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| General maturity level
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| Additional Comments
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| Emotional maturity level
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| Additional Comments
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| Relates positively with peers
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| Additional Comments
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| Self-Confidence
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| Additional Comments
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Please use the following scale in your recommendation of the applicant.
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| Choose one and include any additional comments.
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| I recommend this student:
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| Any additional Comments we need to know about this student:
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Thank you so much for taking the time to complete this form. Your assistance helps us immensely!
This form will be emailed directly to the Office of Admissions at Northlake Christian School.
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Image Verification
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