Pastor's Recommendation Kankakee Trinity Academy
410 S. Small
Kankakee, Illinois 60901
(815)935-8080
Fax-(815) 935-0280

To Be Completed By Parents
Enter the name and address of the student making application in the spaces provided below. Please request your Pastor to complete this form in its entirety and mail it directly to the school.
Student's Name: __________________________________________________________
Parent's Name: ___________________________________________________________
Address: ________________________________________________________________
City/State/Zip: ____________________________________________________________


To Be Completed By Pastor
Dear Pastor:
We would be grateful if you would complete the following reference form for the above named student who is making application to Kankakee Trinity Academy. This form is helpful as we seek to determine if Kankakee Trinity Academy is the right educational environment for this student.
Kankakee Trinity Academy Board of Directors


1. How many years has this family attended your congregation? _____________________

2. How would you evaluate the family's involvement in the ministries of your congregation?
_____Regular and faithful
_____Fairly regular and faithful
_____Sporadic in attendance
_____Seldom attends/participates

3. Does the student indicate submission to the authority of parent(s)/guardian?
      _____Yes           _____No           _____Sometimes

4. Does the family demonstrate respect for the authority of your local church and the Biblical principles you proclaim?
_____Generally yes                 _____Somewhat                 _____ No

5. What evidence is there that the parent(s)/guardian and the student have a relationship with Christ?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Church Name:
_____________________________________________________________

Address:
_____________________________________________________________

City/State/Zip:
_____________________________________________________________

Phone #:
_____________________________________________________________

Pastor's Signature:
_____________________________________________________________

Thank you for your assistance with this reference. God bless you and your ministry!
Please mail this completed form to:

Kankakee Trinity Academy
ATTN: Records Department
410 S. Small
Kankakee, Illinois 60901

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