To the Standing Committee of (Place) ____________________________ (Date)____________,

We, whose names are hereunder written, testify to our belief (based on personal knowledge or on evidence satisfactory to us) that ____________________________ is sober, honest, and godly, and that he is a communicant of this Church in good standing.

We do furthermore declare that, in our opinion, he possesses such qualifications as fit him to be admitted a Candidate for Holy Orders.

Signature of Minister of Parish:

Name: ____________________________________ Title: __________________

Signatures of Vestry Members:

I hereby certify that the foregoing certificate was signed at a meeting of the Vestry of ________________________Parish, duly convened at ____________________on _______day of _________________, and that the names attached are those of all (or a majority of all) the members of the Vestry.

(Signed) ____________________________________

The Minister of or Clerk or Secretary of the Vestry.