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Pastor Reference Form

Pastor, Youth Pastor, Elder, or Deacon

*Denotes Required Field

The information given in this Character Reference is used for the application process, roommate placement, as well as allowing us to understand the needs of the applicant. Please answer each question to the best of your ability.

If you do not have time to complete this form in one sitting, you can "Save Partial Response" and complete it within 2 weeks.

Please rate the applicant on the items below by selecting the appropriate description.

Relationships (select several):

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Release of Information:

This information will be held in confidence by Peace River Bible Institute and will not be released to anyone (other than appropriate employees or representatives of Peace River Bible Institute), without your permission, or in the absence of your permission, a Court Order, Subpoena or laws requiring the disclosure of such information.

If you have any further comments or concerns about this applicant, please contact admissions@prbi.edu or call at (780) 568-3962.

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