Chaplaincy Australia Accreditation Reference

Chaplaincy Australia Reference Check (Accreditation)

Thank you for providing a pastoral reference. This form should take less than 2 minutes to complete. Your responses will be kept confidential and used only to support the applicant’s training application with Chaplaincy Australia.

Referee Details (The person completing this form)

Your full name(Required)

Your Role/Position/Relationship with the Applicant

Contact Phone (if follow up is required)(Required)

Applicant Details (the personal applying for Chaplaincy Training)

Applicant's Full Name(Required)

First Last

State(Required)

How long have you know the applicant?

accreditation_name

accreditation_id

accreditation_folder_ID

Assessment

Do you consider this applicant to be suited to the ministry of chaplaincy?(Required)

Has the applicant been involved in an church dissension, or other issues relevant to this application?(Required)

Please indicate any other areas of concern in regards the granting of Chaplaincy Accreditation to this applicant?

Optional additional comments

Please provide any other relevant information which should be considered as a part of this application (optional)

Optional additional comments

Referees Declaration: I state that I am not related to this applicant, and according to the information provided above I deem this applicant:

Chaplaincy Australia Reference Check (Accreditation)

Referee Details (The person completing this form)

Applicant Details (the personal applying for Chaplaincy Training)

Assessment

Student Quick Links

ACC Chaplaincy Australia Limited