Pastoral Reference Form

HDCH Membership Application

Reference Form

Appendix B - Pastoral Reference Form

This form HDCH Membership Form. The Membership Policy requires that the applicant that a Christian Church is subscribe and adhere that HDCH. asks to the Please return the completed form to the school by

This form is an appendix to the HDCH Membership Application Form. applicant confirm that they “are a sincere attendee/member at a Christian Church.” Church '' is understood to subscribe to and adhere to similar beliefs to that of HDCH. asks you to respond to the questions/statements below. mail or email.

Name of Applicants:

Church Name:

The Policy requires In this case, a “Christian The Board of HDCH kindly Please return completed by

Name of Pastoral Reference:

Church Address:

Does your Church affirm the following teachings and be

Does affirm following teachings and beliefs?

 We believe that the Holy Bible is God's inspired and infallible word.

We God's infallible

 We believe that God's word alone is a sufficient rule of faith and practice.

 We believe Christ Jesus died once for all to atone for our sins.

 We believe we are saved by grace alone, apart from works, through faith in Christ Jesus.

 We believe in all the statements contained in the Apostle's Creed, Nicene Creed and Athanasian Creed.

We alone sufficient of practice. We died for to e believe saved apart works, faith We the in Apostle's Creed, Creed and Athanasian

Please complete the following reference questions:

1. How long have you known the family?

Please the ng have known the

2. Are the parents current attendees/members, in good standing, of your church?

3. Are they faithful in church attendance?

4. As far as you know, is their lifestyle consistent with belief in Jesus Christ as Lord and Saviour?

5. Other comments you may wish to add:

2. Are the attendees/members, good 3. Are faithful 4. is lifestyle with belief and 5. may

Name: _____________________

Email: _______________________

Phone: _______

Signature: Please return this completed form to: tvandyk@hdch.org or mail to HDCH Attn. Tina VanDyk

Date: _______ VanDyk 92 Glancaster