{"id":1119,"date":"2014-06-19T13:57:25","date_gmt":"2014-06-19T20:57:25","guid":{"rendered":"http:\/\/vineacademy.org\/wp\/?page_id=1119"},"modified":"2019-10-02T23:51:17","modified_gmt":"2019-10-03T06:51:17","slug":"pastoral-reference","status":"publish","type":"page","link":"https:\/\/vineacademy.net\/wp\/studentresources\/forms\/pastoral-reference\/","title":{"rendered":"Pastoral Reference"},"content":{"rendered":"<p>\u00a0<\/p>\n<p style=\"text-align: center;\"><form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-29\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-29\" value=\"1776935908\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"29\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><h2 class=\"\">VINE ACADEMY<\/h2><span class=\"vfb-help-block\">Pastoral Reference<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField628\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\">Please fill out the following CONFIDENTIAL questionnaire and click the submit button<\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField630\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField631\"><div class=\"vfb-form-group\"><label for=\"vfb-field-631\" class=\"vfb-control-label\">Applicant's Name <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Name of the student you are kindly completing this form for.<\/span><input id=\"vfb-field-631\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-631\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-date\" id=\"vfbField632\"><div class=\"vfb-form-group\"><label for=\"vfb-field-632\" class=\"vfb-control-label\">Date<\/label><div><input id=\"vfb-field-632\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" type=\"text\" name=\"vfb-field-632\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField633\"><div class=\"vfb-form-group\"><label for=\"vfb-field-633\" class=\"vfb-control-label\">In what capacity and for how long have you known the applicant?<\/label><div><input id=\"vfb-field-633\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-633\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField634\"><div class=\"vfb-form-group\"><label for=\"vfb-field-634\" class=\"vfb-control-label\">Please describe the church activities in which this applicant participates (Choir, youth group, Bible Study, catechism, etc).<\/label><div><input id=\"vfb-field-634\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-634\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField635\"><label for=\"vfb-field-635\" class=\"vfb-control-label\">What is the applicant\u2019s personal faith experience, as you perceive it?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-635-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-635\" value=\"The applicant is disinterested in personal faith\">The applicant is disinterested in personal faith<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-635-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-635\" value=\"The applicant is passively interested in personal faith\">The applicant is passively interested in personal faith<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-635-2\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-635\" value=\"The applicant is growing in faith\">The applicant is growing in faith<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-635-3\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-635\" value=\"Not sure\">Not sure<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField636\"><div class=\"vfb-form-group\"><label for=\"vfb-field-636\" class=\"vfb-control-label\">Please describe any specific concerns or highlights you have on the spiritual growth and\/or character of this applicant.<\/label><div><input id=\"vfb-field-636\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-636\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField637\"><div class=\"vfb-form-group\"><label for=\"vfb-field-637\" class=\"vfb-control-label\">Please comment on the applicant\u2019s relationship with his\/her parents. <\/label><div><input id=\"vfb-field-637\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-637\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField638\"><div class=\"vfb-form-group\"><label for=\"vfb-field-638\" class=\"vfb-control-label\">What qualities of this student endear him\/her to you personally?<\/label><div><input id=\"vfb-field-638\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-638\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField639\"><div class=\"vfb-form-group\"><label for=\"vfb-field-639\" class=\"vfb-control-label\">In your opinion, what qualities in the applicant need improvement?<\/label><div><input id=\"vfb-field-639\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-639\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField640\"><div class=\"vfb-form-group\"><label for=\"vfb-field-640\" class=\"vfb-control-label\">Have you ever known the applicant to smoke, drink alcohol, use drugs, or steal? If yes, please elaborate.<\/label><div><input id=\"vfb-field-640\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-640\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField641\"><div class=\"vfb-form-group\"><label for=\"vfb-field-641\" class=\"vfb-control-label\">What qualities does this student have that would add positively to Vine Academy?<\/label><div><input id=\"vfb-field-641\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-641\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField642\"><div class=\"vfb-form-group\"><label for=\"vfb-field-642\" class=\"vfb-control-label\">In your opinion, what does Vine Academy have to offer this applicant that would meet his\/her needs?<\/label><div><input id=\"vfb-field-642\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-642\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField643\"><div class=\"vfb-form-group\"><label for=\"vfb-field-643\" class=\"vfb-control-label\">Please add any further information that you think would be helpful to us.<\/label><div><input id=\"vfb-field-643\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-643\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField644\"><label for=\"vfb-field-644\" class=\"vfb-control-label\">May we contact you by phone for additional information?<\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-644-0\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-644\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-644-1\" class=\"\" placeholder=\"\" type=\"radio\" name=\"vfb-field-644\" value=\"No\">No<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-phone\" id=\"vfbField645\"><div class=\"vfb-form-group\"><label for=\"vfb-field-645\" class=\"vfb-control-label\">Phone<\/label><div><input id=\"vfb-field-645\" class=\"vfb-form-control vfb-intl-phone\" placeholder=\"\" type=\"tel\" name=\"vfb-field-645\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField646\"><div class=\"vfb-form-group\"><label for=\"vfb-field-646\" class=\"vfb-control-label\">Your Name <span class=\"vfb-required-asterisk\">*<\/span><\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-6\"><input id=\"vfb-field-646-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"First\" required=\"required\" type=\"text\" name=\"vfb-field-646[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-6\"><input id=\"vfb-field-646-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Last\" required=\"required\" type=\"text\" name=\"vfb-field-646[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField647\"><div class=\"vfb-form-group\"><label for=\"vfb-field-647\" class=\"vfb-control-label\">Church you are affiliated with.<\/label><div><input id=\"vfb-field-647\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-647\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField648\"><div class=\"vfb-form-group\"><label for=\"vfb-field-648\" class=\"vfb-control-label\">Position<\/label><div><input id=\"vfb-field-648\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-648\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField649\"><div class=\"vfb-form-group\"><label for=\"vfb-field-649\" class=\"vfb-control-label\">Church address or web page:<\/label><div><input id=\"vfb-field-649\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-649\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField650\"><button id=\"vfb-field-650\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Submit<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/form><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":21,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1119","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/pages\/1119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/comments?post=1119"}],"version-history":[{"count":0,"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/pages\/1119\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/pages\/21"}],"wp:attachment":[{"href":"https:\/\/vineacademy.net\/wp\/wp-json\/wp\/v2\/media?parent=1119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}