Referral Form

This form is to be completed by a parent or pastor to provide a character reference and approval for the applicant’s participation in the Jerusalem Study Tour program.

Thank you for your response. ✨

Name of Student

Your Name

Relationship to Applicant: (required)

Parent Pastor

Church or Organization Name (if applicable)

Brief Description of Applicant’s Character:
Please provide a brief description of the applicant’s character, including strengths and any areas where they excel, or any areas where they might struggle.

Spiritual Maturity:
How would you describe the applicant’s spiritual maturity and commitment to their faith?

Approval and Support:
Do you approve of the applicant attending the spring semester at CCBC Jerusalem?

Additional Comments:

Electronic Signature (Type Full Name)

(YYYY-MM-DD)

Jerusalem Study Tour

A ministry of Calvary Chapel

This form is to be completed by a parent or pastor to provide a character reference and approval for the applicant’s participation in the Jerusalem Study Tour program.

Thank you for your response. ✨