STM-Online Reference Form

Thank you for taking the time to complete this reference form. Staff applicants are required 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 one year.

If you would like to download a printable version of this reference form:

CLICK HERE

Look for the icon to download it to your device (typically upper right)

Open the downloaded form in the newest version of Acrobat Reader

Scan and email the completed form in PDF format to centralprocessing@specialtouch.org

I am providing this reference for:

Applicant First Name (required)Applicant Last Name (required)
City (required) State (required)

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

SUMMER GET AWAY STAFFCIT(Caregiver In Training)CHAPTER OFFICER/VOLUNTEERLEADERSHIP POSITIONUNKNOWN

Summer Get Away Location(s) - check all that apply

Chapter Location(s) - check all that apply

Beaver Dam, WIJacksonville, FLMilwaukee/Greenfield, WINorthford, CTGardner/Westminster, MATuscon, AZ

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

Amount of time I have known this person
My relationship to applicant -Pastor, Co-worker, Supervisor, Coach, Professor...

Please contact me before approving this applicant.

Your First Name (required) Your Last Name (required)
Your Phone Number (required)
Your Email (required)

NOTE: If you receive an error that says your email address is invalid, please refresh this page and try using the auto-fill option to complete the email address field. If you are still having problems, download the printable version of this reference form and submit. Thank you.

Special Touch Ministry, Inc.

serving the concerns of people with disabilities

I am providing this reference for:

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

Summer Get Away Location(s) - check all that apply

Chapter Location(s) - check all that apply

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.

I am providing this reference for:

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

Summer Get Away Location(s) - check all that apply

Chapter Location(s) - check all that apply

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.

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