Pastor Endorsement Form

Pastor Endorsement Form
Pastors, please complete this form and submit as part of the prospective loan recipient's application for a Pierstorf Memorial Fund Loan. Forms must be submitted by June 30th of each year.
 
The Pierstorf Memorial Fund was established in 1994 at Messiah, Fairview Park to provide assistance for Lutheran college students. To be eligible, the applicant or his/her parents must be active members of a Lutheran congregation in one of the following northern Ohio counties: Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, or Summit. The Pierstorf Committee relies on your endorsement of the student to verify this participation. 

Applicant's Name:
Pastor's Name:
Church Name:
Church Street Address:
Church City / State / Zip:
Church County:
Applicant's Mother's Name:
Applicant's Father's Name:
I have know this family for (please denote amount of time in years or months):
With 1 being the LEAST and 5 being the MOST, please denote to what degree you agree with the following statement: Applicant in active in the life of our congregation.




With 1 being the LEAST and 5 being the MOST, please denote to what degree you agree with the following statement: Parent(s) are active in our congregation.




With 1 being the LEAST and 5 being the MOST, please denote to what degree you agree with the following statement: I endorse this student/family for your program.




Any other comments you would like to make that will aid us in our decision:
Pastor's Signature (by typing your name here, you are signing this document):
Date:
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

captcha math problem
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