Administrator/Executive Director/Direct Supervisor in Long Term Care Recommendation Form

Must be completed by a person in an executive position – such as the Nursing Facility Administrator, Assisted Living Director/Manager, Owner/Operator of the company – or a person in a direct supervisory position - such as the applicant’s immediate supervisor.

This form must be be submitted by July 15, 2022
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  • NOTE: Specific Example REQUIRED
  • Provide us with some insight as to the character of the applicant. Please include some reflections on the criteria listed below: