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From what you know of this applicant, would you re-employ or employ (if you owned a business and had an available position for which this applicant was qualified)? Please explain your answer

To your knowledge is there anything about this applicant’s character that would not serve as a positive role model or would have a negative influence on our children or any known reason why this person should not work with children? Please explain your answer.

Any known current drug or alcohol abuse that would pose a risk for the company should this applicant be hired? Please explain your answer.

Any known job dismissals due to unsatisfactory performance? Please explain your answer.

Any known felonies? (MH does not automatically rule out an applicant due to a past felony but would research it’s correlation to the ability to perform the position without risk to org. or clients). Please explain your answer.

Any areas you feel this applicant would need to improve in order to be a successful employee? Please explain your answer.

If you had small children, would you trust this person to supervise them? Please explain your answer.

Is there anything that I didn’t ask that I should have? Please explain your answer.

Do you have any additional information about the applicant that relates to his/her ability or lack of ability to provide a safe and secure environment for our youth? Please explain your answer.

Anything else you would like to add?

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