Date ______________________

To The Right Reverend Chilton Knudsen, Bishop of Maine:

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/she has been a communicant of this Congregation in good standing since ____________________. We do further declare that, in our opinion, he/she possesses such qualifications as fit him/her to be admitted as a CANDIDATE FOR HOLY ORDERS with the intention to seek ordination to the Priesthood. We set forth, in a letter or statement attached to this certificate, the grounds upon which we make our judgment of the applicant's qualifications.

SIGNED _______________________________________

Member of the Clergy in Charge of the Congregation to which Applicant belongs

VESTRY/BISHOP’S COMMITTEE OF THE CONGREGATION

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

_________________________________ __________________________________

(To be signed by a Majority of the Vestry/Bishop’s Committee)

ATTESTATION

I hereby certify that the foregoing certificate was signed at a meeting of the Vestry/Bishop’s Committee of ______________________________________________________________________

(Name of Congregation)

at _____________, Maine, duly convened on the ____ day of _______, _____, and that the names attached are those of all (or a two-thirds majority of all) the members of the Vestry/Bishop’s Committee.

DATE ____________________ SIGNED__________________________________

Clerk of the Vestry/Bishop’s Committee

Attached is our statement concerning the applicant.