This applicant has applied for an apprenticeship with our short-term missions program and listed you as a reference. We are asking you to assist us in evaluating this applicant’s qualifications by completing the following form. Pass over any items that may be outside your range of knowledge. (Please note: If you are a family member or spouse, you cannot serve as a reference.) We are grateful for your cooperation and will treat your reply confidentially. This reference form should be returned directly to Christian Veterinary Mission by email (,) fax (206-546-7458) or post mail. If you have any questions, please contact the Short-term Missions Coordinator at 206-546-7344.

STM References

Contact Info



Personal Assessment



Pastoral Reference