Personal or Pastor Reference

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#666633" TEXT="#080000" bgproperties="fixed" background="087005a2ddvuvs.gif"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Times New Roman" ><B>El Shaddai Ministries of Florida, Inc.</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="El Shaddai Ministries of Florida, Inc."><U><B>home</B></U></A></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#999966" TEXT="#080000"> <div> <A HREF="id25.htm" TARGET="_top" TITLE="Enrollment Requirements"><U>Enrollment Requirements</U></A></div> <div> <A HREF="id26.htm" TARGET="_top" TITLE="Parent/Teacher Responsibility"><U>Parent/Teacher Responsibility</U></A></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="Statement of Faith"><U>Statement of Faith</U></A></div> <div> <A HREF="id41.htm" TARGET="_top" TITLE="Affirmation of Commitment"><U>Affirmation of Commitment</U></A></div> <div> <B>Personal or Pastor Reference</B></div> <div> <A HREF="id30.htm" TARGET="_top" TITLE="Student Enrollment Form 2001/2002"><U>Student Enrollment Form ~ 2001/2002</U></A></div> <div> <A HREF="id31.htm" TARGET="_top" TITLE="Transfer of Records Request"><U>Transfer of Records Request</U></A></div> <div> <A HREF="id33.htm" TARGET="_top" TITLE="Curriculum List"><U>Curriculum List</U></A></div> <div> <A HREF="id32.htm" TARGET="_top" TITLE="Quarterly Reports"><U>Quarterly Reports</U></A></div> <div> <A HREF="id42.htm" TARGET="_top" TITLE="High School Florida Course Codes"><U>High School - Florida Course Codes</U></A></div> <div> <A HREF="id27.htm" TARGET="_top" TITLE="Testing Evaluation Info"><U>Testing & Evaluation Info</U></A></div> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Personal or Pastor Reference</I></div> <bR> <bR> <div> DATE:  </div> <bR> <bR> <div> RE:  The __________________________family</div> <bR> <bR> <bR> <div> Parent Names: _________________________________________________________</div> <bR> <bR> <div> Children: ______________________________________________________________</div> <bR> <bR> <bR> <div> I, __________________________________, have known the above family for _______ years.  </div> <bR> <div> I affirm their decision in taking the responsibility to educate their child(ren).  I confirm, to the best</div> <bR> <div> of my knowledge, that they are of upright and moral character and I am not aware of them </div> <bR> <div> participating in the consumption of alcohol, illegal drugs or immoral activities.</div> <bR> <bR> <bR> <div> Name: _____________________________________________</div> <div>             <FONT SIZE="1" COLOR="#000000" FACE="Arial" >Please Print Name</FONT></div> <bR> <bR> <div> Address: ___________________________________________</div> <bR> <div>                 ___________________________________________</div> <bR> <bR> <div> Phone: ________________________</div> <bR> <bR> <bR> <div> Signature: __________________________________________</div> <bR> <bR> <div>                   __________________________________________</div> <bR> <bR> <bR> <div> Mail form to:  El Shaddai Ministries of Florida, Inc.</div> <div>                        11639 Huggins Street</div> <div>                        Leesburg, FL  34788</div> <div>                        352-742-2401 (phone/fax)</div> <div>                        ElShaddaiAcademy@cs.com</div> <div>                        www.elshaddaiministries.com</div> <div>                        </div> </td> </tr></table></body>