Safe Sanctuaries - Clergy Reference Request

Welcome to the Safe Sanctuaries Automated Reference Request page for CLERGY.

As a courtesy, please let your references know you have selected them to provide

information for your file.

Your Information (all required)
First Name
Last Name
Email Address

Before requesting your references please read the requirements below.

District Superintendent Form
  • This reference must be completed by your District Superintendent.
Please select your District Superintendent from the list below.
 
Your District Superintendent:
or Enter the email:
or Print form (PDF)
Clergy - Pastor Reference Form
  • The reference must be completed by a Clergy member or the Staff-Parish Chair at your current or a previous church. Your refence must have known you for at least 2 years, and be a person who is not related to you.

    For your convenience in selecting a PPR chair, use the drop-down menu. Note: Only PPR chairs who have provided an email address to their district office are included on the drop-down list. You may type in an email address if you know it.
Please select your pastor or Staff-Parish chair from the list below.
Pastor or Staff-Parish Chair:
or Enter the email:
or Print form (PDF)
Clergy - General Reference Form
  • The reference may be completed by a Clergy member or the Staff-Parish Chair at your current or a previous church. Your refence must have known you for at least 2 years, and be a person who is not related to you.
Your reference: Enter the email:
or Print form (PDF)


For additional clarification of these requirements or for other questions, please e-mail Safe Sanctuaries.