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:
  • 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

  • Reference Form

    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

    OklahomaFloridaIllinoisWisconsin/N MichiganGeorgiaOhioNE RegionArizonaKentucky

    Chapter Location(s) - check all that apply

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