DS 224 Form. DS 224 Form 2025

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The document is a Confidential Employment and Personal Reference Survey from the California Department of Developmental Services, designed to gather information about an applicant's background, relationships, and experiences with individuals who have developmental disabilities. It includes questions regarding the reference's relationship with the applicant, their experience in relevant settings, and assessments of the applicant's reliability, stress management, and personal traits. The survey aims to evaluate the applicant's suitability for providing consumer services and supports.

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Click ‘Get Form’ to open the DS 224 Form in the editor.
Begin by entering the applicant's name and contact information in the designated fields at the top of the form.
In Section 1, select how long you have known the applicant by checking the appropriate box.
Proceed to Section 2 and indicate your relationship with the applicant by selecting one of the roles listed.
In Section 3, choose where you have spent time with the applicant from the provided options.
Complete Section 4 by indicating the length of the applicant's experience with individuals with developmental disabilities.
For Section 5, answer questions regarding employment references and any concerns about drug or alcohol use.
In Section 6, provide specific examples that demonstrate the applicant's strengths in various areas such as honesty and flexibility.
Finally, review your responses for accuracy, sign and date at the bottom of the form before submitting it.

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2018	4.8 Satisfied (135 Votes)

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