CPE Reference Form

Applicant's Information

Application For:

  • Certificate in Pastoral Care & Counseling
  • Summer Unit for seminarians, Agency
  • Summer Unit for seminarians
  • Extended Unit for seminarians
  • Part Time Unit for working clergy

Reference Giver's Information:

Do you recommend this person:

  • Yes, without hesitation
  • Yes, with hesitation or concerns
  • No, I do not recommend this person

Dear Reference Provider, We ask that you respond as candidly as possible. If you are recommending the person with or without hesitation: this information will help us to evaluate the learning needs of the student in order to be as helpful as possible to him/her in the educational process. Thank you.

4. Please evaluate the candidate on (ranging from 4 to 1, where 4 is Very strong, 3: Strong, 2: Average, 1: Needs Work; Comments: What strengths does she/he need to develop in this area?)