To the applicant: This form should be completed and submitted by you pastor. Do not fill it out yourself. If your pastor is one of your parents, please refer the form to another minister in your church. If a person other than your pastor completes this form, an explanation should be provided.


To the pastor: The applicant who has referred you to this form has applied to become a student at Refuge Discipleship School. We would appreciate it if you would supply the information requested on this form in order to aid us in evaluating the applicant’s suitability to become a student at RDS. The applicant can not be considered until all reference forms are received, therefore your speedy completion of this form would be very much appreciated. This reference will be kept confidential. Thank you for your assistance.

Check words that describe the applicant. Choose the ones that stand out the most.