• I hereby authorize and request that North Central Ministry Development Center contact the person(s) named below in order to request input for my candidacy assessment. I expressly understand and agree that no liability of any nature shall attach to the Center or to its staff in acting upon this request.
  • Please enter your name as you would legally sign it.

  • As you make your selection, keep in mind that they need to be someone who knows you, who is familiar with your occupational and personal strengths, your limitations and growth edges, and has a sense of your direction of growth and development for the future. Because the information is for your professional growth, please select someone who will be objective in giving feedback, both positive and negative. Please do not use family members or friends. If you are serving in the local church, it is recommended that you choose one of each: a supervisor, a peer, and a congregational member.

  • Reference 1

  • Reference 2

  • Reference 3

A word of caution: if you are unable to finish the online form in one sitting, just saving the web page won’t capture the text you have written, so you will have to copy and paste your answers into a document to save. It might be best to write up answers in a document to begin with, then copy and paste them over once every question has been answered.
References - Word
References - PDF