Pastoral Reference Questionnaire

Contact Information

Your Name (Pastoral Reference)(Required)

Church(Required)

Email(Required)

Phone(Required)

Student Name(s)(Required)

Our church affirms the Agape Statement of Faith and will partner with Agape Christian Academy in the spiritual development of the student(s).(Required)

Our church affirms the Agape Christian Academy's Statement of Faith

Our church differs in our beliefs from Agape's and cannot affirm

Additional Comments

Additional Comments on the Statement of Faith

Family Partnership

The family supports biblical teaching at home.(Required)

Yes

No

Other

The family actively encourages the student’s spiritual development.(Required)

Yes

No

Other

The family is receptive to teaching and counsel from church leadership.(Required)

Yes

No

Other

School Fit & Partnership

In your judgment, would this student(s) and family form a God-honoring partnership with Agape Christian Academy? Why or why not?(Required)

Additional Comments

Optional

Additional Comments (Optional)

AGape Christian Academy Admissions