PROFESSIONAL REFERENCE CHECK
(Name of Applicant)
(Company Address)
(Reference Telephone #)
1 How long have you known or/supervised the candidate? 2 What was the his/her position and main job responsibilities?
(From)
(To)
(Reference Signature)
Date
Please fill out the form for the person that you recommend to work with individuals with disabilites.
Please sign and have notarized.
Contact your local sheriff’s office to obtain a “local law checkâ€
Name:
Email:
