Pastor Reference Form

One pastoral reference is required for PRC volunteer applicants seeking to work directly with clients. Pastors, please complete the reference form below or use the links below the form to download it in PDF or Microsoft Word and submit it by mail, email or in-person. If you have any questions, please call (540) 552-5556.

Verification

I verify that all above information and answers are true to the best of my knowledge. *Your initials serve as your electronic signature in agreement to this statement.

Submit Reference Form

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Or you can download the pastor reference form in PDF or Microsoft Word formats below, then complete and submit by mail, email or in person:

Pastor Reference Form (PDF)

Pastor Reference Form (Word)

Our work is made possible through the generous support of our financial partners. Every financial gift, no matter how great or small, helps us continue these vital ministry and outreach efforts. Please prayerfully consider how you might contribute.

Donate Here

Or mail your contributions to:

Pregnancy Resource Center of the New River Valley
708 North Main Street
Suite 200
Blacksburg, VA 24060

Subscribe to Newsletter

Pastor Reference Form