
State of CaliforniaHealth and Human Services AgencyDepartment of Developmental ServicesDS 224 (Rev. 9/2018)(Electronic Version)Confidential Employment and Personal Reference Survey ApplicantReference.
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How to fill out the DS 224 Form online
Filling out the DS 224 form is essential for providing confidential employment and personal references. This guide will walk you through the process of completing this form accurately and efficiently, ensuring you meet all requirements.
Follow the steps to complete the DS 224 Form online effectively.
- Press the ‘Get Form’ button to access the DS 224 Form and open it in your preferred digital editor.
- Begin filling in the applicant's name and telephone number in the designated fields. Ensure that this information is accurate for consistent communication.
- Input the reference's name, telephone number, and address. This information is crucial for verifying the reference's relationship with the applicant.
- Specify the agency involved, if applicable, as well as the reference's telephone number. This provides additional context for the reference's perspective.
- Indicate how long you have known the applicant by checking the appropriate box that reflects the duration of your relationship.
- Describe your relationship with the applicant by selecting the relevant role from the options provided, such as 'relative,' 'supervisor,' or 'friend.'
- Detail the settings where you've spent time with the applicant, selecting from options like 'home,' 'workplace,' or 'school.' This provides insight into your interactions.
- Note the applicant's experience with individuals with developmental disabilities by checking the correct time frame from the list provided.
- Complete the section regarding the applicant's employment history, addressing questions about their punctuality and work absences.
- Answer the questions regarding substance use, including any illegal drugs or alcohol, to give a clear perspective on the applicant's behaviors.
- Rate the applicant's ability to handle stress on a scale of 1 to 10, providing a numerical value that reflects your assessment.
- Provide specific examples of the applicant's strengths in areas such as honesty and cooperation, elaborating on your personal experiences with them.
- Reflect on any other relevant activities or traits of the applicant that may impact their capability to support consumers positively or negatively.
- Complete the affirmation statement, confirming that your responses are true and accurate. Then, sign and date the form to finalize it.
- After completing all sections of the form, save your changes. You may choose to download, print, or share the form as needed.
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