Christian Counselor Recommendations | Michigan District, LCMS

Christian Counselor Recommendation Form

Referred By

Name of pastor making referral:

First Name

Last Name

Email

Daytime Phone Number

Potential Counselor

Name

Prefix

First Name

Last Name

Suffix

Address

Street Address

Address Line 2

City

State

Zip Code

Country

Counselor's Email

Phone

Reason for Recommendation