Chaplaincy Reference Form - Accreditations "*" indicates required fields Thank you for providing this reference - please answer all questions with complete candour, your answers will remain confidential. We cannot process the candidates application untill the appropriate references are received. Applicant's DetailsPlease enter the Applicant's Name you are providing the reference for.* First Last State*NSWACTVICTASWASAQLDNTHow long have you known the applicant?*How do you know the applicant and how well do you know them?*Do you consider this applicant to be suited to the ministry of chaplaincy?* Yes No Has the applicant been involved in an church dissension, or other issues relevant to this application?* Yes No Unknown Do you have any other area of concern in regards the granting of Chaplaincy Accreditation to this applicant?Please provide any other relevant information which should be considered as a part of this application.Referees Declaration: I state that I am not related to this applicant, and according to the information provided above I deem this applicant:* Highly Recommended Recommended Recommended with reservations Not Recommended Your DetailsName First Last Date* Church / Organisation*Your Role or Position*Your Email* Your Phone Contact* Δ
