Candidate Referral Form

Thank you for your interest in collaborating with Davis Consulting Solutions (DCS) and referring individuals to our innovative Community2Work® program. It takes a non-traditional, empowering approach to employment, designed to support individuals in achieving their career goals. Through this initiative, participants will gain valuable skills, access essential resources, and develop strategies for building a successful and sustainable career.

To ensure your referral is processed efficiently, please complete Sections 1-3 in full. We appreciate your partnership in helping individuals take the next step toward professional growth and empowerment.

First Name:

Last Name: *

Primary Phone: *

Please enter a number of someone that we can contact on your behalf or 412-555-5555.

Email: *

Please enter an email address of someone that we can contact on your behalf or none@gmail.com.

Secondary Phone:

Candidate Address Information

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Referral Source Information

Name:

Referrer Phone:

How did you hear about us?:

Company Name:

Name of Person To Follow-Up With If Other Than You:

Follow-up Person's Email:

Follow-up Person's Phone:

Has candidate disclosed barriers to employment?:

Attachment Information

Resume:

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Others:

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