Form Ddd-1403c - Individual Supported Employment Services Quality Assurance Review Page 3

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DDD-1403C FORPDF (11-17)
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MANAGEMENT LEVEL INTERVIEW
INTERVIEWEE’S NAME (Print)
INTERVIEWEE’S TITLE
DATE OF HIRE/TIME AT PROGRAM
DATE OF INTERVIEW
Does the Qualified Vendor develop and maintain ongoing relationships with the local business community? If so, how?
If not, what are the barriers preventing this?
How does Qualified Vendor staff educate current/prospective employers about the abilities and challenges of the
Members served?
How is the satisfaction of Members and employers measured and how is that information used for program improvement?
What do you see as the program’s strengths?

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