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Pastoral Recommendation for Bethel Leadership Institute

Date: June 3, 2026

 

 

First Your Name
First Name*
Last Name*
Phone*
First Your Age Acknowledgment*
First Your Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Your Signature*
Second Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Third Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Fourth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Fifth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Sixth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Seventh Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Eighth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Ninth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Tenth Your Name
First Name*
Last Name*
Your Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Questions pertaining to BLI applicant
Name of Bethel Leadership Institute applicant that you are recommending: *
Do you recommend the applicant for admittance into the program? Why or why not? *
Does the applicant have any character/spiritual issues of which we should be aware? *
Submission

Thank you for completing this form. Once you submit the Equip team is automatically notified that you have completed the form.

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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