Next Steps of

South Carolina

(NSSC)

 

 

Reference Checklist

Form

 

Participant Name

 

Date

 
   

Company

 

Supervisor

 

Phone Number

 

Email

 

Dates Employed:

 

to

 
 

Confirmed Dates

Yes

No

Good Attendance

Yes

No

Dependable?

Yes

No

Able to Work w/o Supervision

Yes

No

Learn Quickly?

Yes

No

Honest?

Yes

No

Get Along with Co-workers/others?

Yes

No

Would Hire Again?

Yes

No

 

Comments:

 

T

T

T

T

T

NSSC Staff Name:

 

NSSC Affiliate:

 
             

 

Next Steps of South Carolina is indebted to Samaritan Ministry of Greater Washington (www.samaritanministry.com), Lazarus Ministry of Christ Episcopal Church, Alexandria, VA (www.historicchristchurch.org), and The Cooperative Ministry, Columbia, SC (www.coopmin.org) for allowing us to pattern our Next Step Program after their successful ministries.

 

(Last modified 5/21/2013)