Saskatoon Institute for Pastoral Education
Saturday, 24 May 2008
Clinical Pastoral Education  

Confidential Letter of Reference and Recommendation

Download Reference Form as PDF.

NAME OF CANDIDATE: NAME OF REFERENCE GIVER:

_____________________________________ ______________________________________

ADDRESS: ___________________________ ADDRESS: ____________________________

_____________________________________ ______________________________________

_____________________________________ ______________________________________

DATE OF PROGRAM: _________________ POSITION OR FUNCTION: ______________

______________________________________

RETURN TO: Tom Powell, Chaplain Please do not return this letter to the candidate,

219 Swan Crescent but, send it directly to the address on the left.

Saskatoon, Saskatchewan This letter will be kept strictly confidential.

S7J 5B4 or: email at Please use extra sheets if necessary. Thanks

tompowell@sasktel.net for your prompt attention to this matter.

1. How long have you know the candidate, and in what capacity have you known her/ him?

______________________________________________________________________________

______________________________________________________________________________

2. How do you evaluate the candidate:

a) in his/ her pastoral effectiveness?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

b) in her/ his personal disposition for work?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

3. What do you think of his/ her plans to pursue pastoral studies? (motivation, aptitudes, chances of success, etc.)


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

4. Please evaluate the candidate according to the following rating scale.

Excellent

Very Good

Good

Weak

Very Weak

Breadth of general knowledge

Conflict resolution skills

Creativity

Degree of self awareness

Emotional maturity

Intellectual capacities

Interpersonal communications skills

Openness to new ideas

Spiritual maturity

5. Please identify what, in your opinion, CPE might help the candidate learn.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

6. Additional remarks and comments.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

________________________________________________________

Signature

________________________________________________________


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