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ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF BEHAVIORAL HEALTH SERVICES NAME OF DIRECT SERVICE STAFF/CONTRACTOR: Community Service Agency Title XIX Certification DIRECT SERVICE STAFF/CONTRACTOR
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How to fill out direct service staffcontractor reference

How to fill out a direct service staff/contractor reference:
01
Start by providing your contact information at the top of the reference form. Include your name, title, organization, phone number, and email address.
02
Next, provide the contact information of the individual you are referencing. Include their name, job title, organization, phone number, and email address.
03
Begin the reference by specifying your relationship with the direct service staff/contractor. State how long you have known them, in what capacity, and the nature of your professional relationship.
04
Describe the direct service staff/contractor's job responsibilities and the specific tasks they perform. Highlight their skills, qualifications, and any notable achievements or contributions they have made to their role.
05
Assess the direct service staff/contractor's performance and work ethic. Comment on their reliability, punctuality, and ability to meet deadlines. Provide examples or anecdotes to support your evaluation.
06
Evaluate their communication skills, both written and verbal. Discuss their ability to effectively convey information and interact with clients, colleagues, and supervisors.
07
Comment on their ability to work independently as well as part of a team. Evaluate their problem-solving skills, their willingness to collaborate, and their ability to adapt to different work environments or situations.
08
Assess their professionalism and ethical conduct. Comment on their adherence to organizational policies, their respect for confidentiality, and their ability to handle sensitive information appropriately.
09
Provide an overall assessment of their performance, character, and suitability for future opportunities or promotions. Offer recommendations for areas of improvement if necessary.
Who needs a direct service staff/contractor reference:
01
Employers: Companies or organizations hiring for direct service staff or contractors may require references to assess the candidate's qualifications, skills, and work history.
02
Human Resources: HR departments may request references to ensure that the direct service staff/contractor meets the organization's standards and requirements.
03
Licensing and certification boards: For certain professions or industries, licensing or certification boards may require references to validate the candidate's experience and expertise.
04
Grant or funding organizations: Nonprofit organizations or projects seeking funding may require references to demonstrate the direct service staff/contractor's qualifications and competency.
05
Clients or customers: In some cases, clients or customers may request references before engaging the services of a direct service staff or contractor to ensure they are trustworthy and capable.
Overall, direct service staff/contractor references are essential for verifying and evaluating the qualifications, skills, and work history of individuals in roles that involve direct service provision.
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What is direct service staff/contractor reference?
Direct service staff/contractor reference is a form or document used to provide information about individuals or companies who directly provide services to clients or customers.
Who is required to file direct service staff/contractor reference?
Direct service staff/contractor reference must be filed by organizations or businesses that employ or contract with individuals or companies to provide direct services to clients or customers.
How to fill out direct service staff/contractor reference?
Direct service staff/contractor reference can be filled out by providing detailed information about the staff or contractors, including their names, contact information, services provided, qualifications, and any relevant references or certifications.
What is the purpose of direct service staff/contractor reference?
The purpose of direct service staff/contractor reference is to ensure that individuals or companies providing services meet the necessary qualifications, standards, and requirements to effectively serve clients or customers.
What information must be reported on direct service staff/contractor reference?
Direct service staff/contractor reference must include details such as the name and contact information of the staff/contractor, services provided, qualifications, relevant references or certifications, and any other requested information.
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