STM-Online Reference Form

Thank you for taking the time to complete this reference form. Special Touch Ministry requires each applicant to provide one Pastor's and two Professional references.
Individuals who receive compensation from or are otherwise affiliated with Special Touch are not allowed to serve as references for applicants. References are valid for current year only.

If you would like to complete this reference offline and mail in, please return to and download the printable version of this reference form.

I am providing this reference for

The applicant is applying for the position(s) - check all that apply



OklahomaFloridaIllinoisWisconsin/N MichiganNorth CarolinaGeorgiaOhioNE RegionArizonaKentucky

Beaver Dam, WIJacksonville, FLMilwaukee, WINorthford, CTGardner/Westminster, MAMadison, WITuscon, AZ

SUMMER GET AWAY STAFF- volunteer caring for individuals with physical and/or intellectual disabilities at overnight camp-style retreat
CIT - Volunteer youth 14-17 years old attending a Summer Get Away
CHAPTER OFFICER/VOLUNTEER - Serving individuals with physical and/or intellectual disabilities at monthly events throughout the year
LEADERSHIP POSITION - Includes Missionary, Missionary Associate, Representative and Summer Get Away Coordinator. This individual will be representing and serving Special Touch Ministry as leadership as well serving individuals with physical and/or intellectual disabilities
UNKNOWN - Use this selection if you don't know the position this applicant is applying for

Rate the Applicant - Clarify your rating in the comments when giving poor rating(s)

I would personally recommend this person to work in the above position.
Please contact me before approving this applicant.

NOTE: If you receive an error that says your email address is invalid, please be sure your web browser is up to date, delete your temporary internet cache, refresh this page and try again OR print a copy of the reference form and mail in to the Special Touch National Office. Thank you.