Grayslake kindergarten, elementary, junior high and high school academy providing Christian families with private academic education.

Pastoral Recommendation Form

This Form is for the Pastor To Complete ONLY
This reference will be kept in strict confidence.
Pastor Information
Please fill out the following information about you and your church.
Name*
First Last
Postion*
Church Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Information About the Student
Student's Name*
First Last
Grade Student is Entering (For PreK or K, enter 0)*
Please enter a number from 0 to 12.
Is this family a member of your church?*
- Yes
- No
Does this family attend worship services on a regular basis? Comments:*
What evidence of spiritual growth have you seen in this family?*
Additional Comments
Please Complete the Following
Character: Conduct & Attitude*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Spiritual Growth*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Church Attendance*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Relationship With Peers*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Relationship With Parents*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Involvement with Youth Program*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Spiritual Leadership*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
Ability to Cope With Challenges*
- Excellent
- Good
- Average
- Poor
- No Basis For Judgement
How long have you known the student?*
General Comments
Please Sign
Signature