STM-Online Reference Form

STM Online Reference Form

  • 3 Professional References are required for all staff applicants.
  • Must be 18 years of age or older.

Ineligible References

We cannot accept references from:

  • Immediate family members
  • Special Touch Ministry leadership
  • Anyone paid by Special Touch Ministry, Inc.

Review Time: Allow up to two weeks for your submission to be manually updated on the applicant’s file.

Questions? Email

cpo@specialtouch.org

A copy of your submission will be emailed to you upon completion.

Instructions

Complete this form honestly and to the best of your knowledge. Your input helps us assess the applicant’s suitability for a caregiver, leadership, and/or volunteer role.

Please Note: Your feedback is not necessarily what qualifies or disqualifies an applicant; rather, it is used to best place the volunteer in a role where they can be most successful and effective.

Reference Information

Instructions: Provide your information.
Name
Email

Relationship to Applicant

Select the option that best describes your professional relationship to the applicant. (i.e. If you are the applicant's Pastor/Clergy and also a friend, select "Pastor" to reflect your formal role.)
🛑 REMINDER: Immediate family members, members of the household, persons under 18 years old, and all leadership or paid personnel of Special Touch Ministry, Inc. are ineligible as references.
Relationship to Applicant
I have known this person:

Staff Applicant Information

Instructions: Enter the name and relevant information of the applicant you are providing a reference for.
Applicant's Name

1. Character and Teamwork (Rating Scale)

Instructions: Rate the applicant (5 = Excellent/Always, 1 = Poor/Never)
Positive Attitude (Disposition):
Adaptability:
Teamwork/Cooperation:
Compassion/Empathy:

2. Judgment, Safety, & Functionality

Instructions: Choose one of the following for each question.
Does the applicant consistently demonstrate the sound judgment and ethical character needed to be an effective role model?
Do they maintain appropriate boundaries with children/vulnerable populations?
When under pressure or conflict, the applicant generally:
Functional Ability for Accomodation Needs

3. Critical Safety Assessment & Comments

Are you aware of any reason whatsoever why this person should not be entrusted with the care or supervision of children/vulnerable persons?

4. Follow-Up Protocol

REQUIRED CALL: Do you need a follow-up discussion before final approval is given for this applicant?

Final Declaration and Submission

Confirmation
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