Credential Reference

Thank you for taking the time to fill out this reference form. If you have any questions or need to clarify anything you can reach out to us at and we’ll be in touch.

Credential Reference Form

This form is to be filled out as a reference for those applying to become members of Elim Fellowship Canada.

Applicant's Name(Required)

A. Reference Information

Reference Name(Required)
Please provide a number where we can best reach you.
Your email address is required only to reach you regarding this applicant. It will not be kept or stored for any other reason.

B. Reference

How do you know the applicant?(Required)
Please choose all that apply.