This question requires a valid email address.
Instruction: Enter the name of the CRP by which the individual working in this position will be paid.
Instructions: Please respond "True" or "False" for each question below. For a position to qualify as competitive integrated employment (CIE), all items must be “True.” After all seven questions are addressed, a comment box will appear if one or more response is "False". Use this comment field to explain why you responded "False".
This question requires a valid date format of MM/DD/YYYY.
Certification
By signing and submitting this review request as an authorized representative of the Community Rehabilitation Program identified as the Employer of Record, I hereby certify that the above representations with regard to a job position that meets the requirements of Competitive Integrated Employment are true and correct. Failure to provide true and correct information will subject the Community Rehabilitation Provider to sanctions by DORS including loss of DORS funding to provide vocational rehabilitation services. *This question is required.