Dear Small Group Leader / Pastor / Elder,

Someone under your oversight has applied to do the Antioch Counselling Training (ACT) course beginning in January 2021.

This is a rigorous year-long program which will seek to equip these students to biblically counsel people dealing with sinful issues in their lives. For information about the course and its requirements, visit the link below.

As part of their application, they need a recommendation from you as their leader. Please would you take the time to fill out this short form to provide us with more information about the applicant.

All applications and forms need to be handed in by 1 January 2021.

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1 Step 1
ACT Reference Form
Name and Surnameyour full name
Phone Numberplease enter a valid number
Applicant's Nameplease enter the applicant's name and surname
How long have you known the applicant?please enter in a time period
0 /
Applicant Recommendationdo you recommend this applicant for this course
Reservationsplease detail any reservations you may have for this applicant
0 /

If you have specific concerns about this applicant which requires more careful attention,

please contact Matt Floreen (Course Co-ordinator).

matt@antioch.org.za

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If you have any other questions or concerns, please feel free to contact Matt Floreen.