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.

Pastor Reference Form

  • Please know that the individual will not view this form unless you desire to share it with him/her. If you have any questions please feel free to call our Blacksburg office at (540) 552-5556.
  • (1 - average, 2 - above average, 3 - excellent)



Submit Reference Form

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: