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 firstname.lastname@example.org Reference Form 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 OklahomaFloridaIllinoisWisconsin/N MichiganGeorgiaOhioNE RegionArizonaKentucky Chapter Location(s) - check all that apply Beaver Dam, WIJacksonville, FLMilwaukee/Greenfield, WINorthford, CTGardner/Westminster, MATuscon, AZ Definitions: 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) Christian Lifestyle ExcellentGoodAveragePoorUnknown Comments Spiritual Maturity ExcellentGoodAveragePoor Comments Positive Attitude ExcellentGoodAveragePoorUnknown Comments Leadership Skills ExcellentGoodAveragePoorUnknown Comments Works Well With Others ExcellentGoodAveragePoorUnknown Comments Self-Motivated ExcellentGoodAveragePoorUnknown Comments Organizational Skills ExcellentGoodAveragePoorUnknown Comments Verbal Communication Skills ExcellentGoodAveragePoorUnknown Comments Other Communication Skills ExcellentGoodAveragePoorUnknown Comments Reliability/Follow-through ExcellentGoodAveragePoorUnknown Comments Relational Skills ExcellentGoodAveragePoorUnknown Comments Flexible/Adaptable ExcellentGoodAveragePoorUnknown Comments Professional Appearance ExcellentGoodAveragePoorUnknown Comments Physically Capable ExcellentGoodAveragePoorUnknown Comments Gifts/Talents ExcellentGoodAveragePoorUnknown Comments Any additional Comments or information to help us effectively evaluate this applicant are appreciated Amount of time I have known this person 6-12 months1-3 years4-6 years7-9 years10 and over My relationship to applicant -Pastor, Co-worker, Supervisor, Coach, Professor... I would personally recommend this person to work in the above position. Please contact me before approving this applicant. I confirm that the information on this form is truthful and correct to the best of my knowledge. 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.