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Activ8Her Coordinator Ministerial Reference Form

Dear Pastor, 

We have received an application from the above individual, who would like to be considered as a chapter coordinator for Activ8Her.  Would you please complete the attached assessment form? Your response will be confidential. If you have any questions, feel free to write us at You can find out more about Activ8Her at or by emailing

Does she currently serve? If so, in what capacity?
Does the applicant have a teachable spirit?
Would you recommend this applicant as a Coordinator for Activ8Her without reservation? Yes/No? (If no, please explain)

Thanks for submitting!

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