Non-Catholic Confidential Reference

Non-Catholic Confidential Reference
Name of Applicant *
Telephone Number

Area Code Phone Number
1. Do you know the applicant sufficiently to answer some questions about him/her?

Yes No
2. Did you have an opportunity to interview the applicant?

Yes No
3. If you know the applicant, in what context have you known the person? (check any item that applies)

Sunday Worship Community Organizations (Guides/Scouts, etc.) Church Organizations
For what period of time have you known this applicant? From:
For what period of time have you known this applicant? To:

4. In your opinion, how would you rate the applicant in the following areas:

	Satisfactory	Unsatisfactory
Personal Christian Commitment:
Practice of Christian Faith:
Personal Involvement in Church Activities:

5. Pastoral Comments:
I provide my reference for this candidate. I cannot provide a reference at this time.
I provide my conditional reference for this candidate and will review my reference in:

6 months 1 year
Date of Submission

Month Day Year
Should be Empty: