CCSS Employee Reference Check The applicant has applied for a position with Community Connections Support Services supporting adults with developmental disabilities and has listed you as a reference. Your confidential feedback regarding their skills, reliability, and suitability for this position of trust is appreciated. Completed references are required for employment consideration. If you are unable to provide a reference, please advise the applicant so they can provide an alternate. Thank you for your time. Applicant Name Position Applied For Reference Name Email Address Phone Number What is your relationship to the applicant and how long have you known them? Did you ever have concerns regarding the applicant's professionalism, ethics, or ability to provide safe support? Did the application demonstrate reliable attendance and dependability? What would you say are the applicants best qualities? How would these qualities enhance the life of a person they support? What areas of professional growth or development would you identify for the applicant? How might these affect their success as someone providing supports to a person with disabilities? How would you describe the applicant's communication skills with others? Based on your observations, please comment on how the applicant deals with conflict. (Do they seek resolution or avoid conflict and hope it goes away? Are they confrontational or do they work with others to gain understanding)? Please provide any other information that you believe would be helpful in determining the suitability of the applicant to provide support to a person living with a disability. May we contact you if we require clarification? Yes No None *For previous employers* What was the applicant's position and approximately when did they work for you? *For Previous Employers* If you had the opportunity, would you hire or work with this applicant again? Yes No With Reservations None Your results have been submitted. Previous Start Quiz Next Time's up
