TX HHS Form 3016. Administrator Licensing - Reference for an Applicant

The TX HHS Form 3016, "Administrator Licensing - Reference for an Applicant", is a crucial document that helps solve the problem of providing a professional reference for an individual applying for an administrator's license. This form must be completed solely by the person giving the reference and provides a comprehensive overview of their experience working with the applicant.

The form requires essential information about the reference, including name, job title, area code, and phone number. It also asks the reference to describe the applicant's supervisory or management responsibilities when working together, including start and end dates, job duties, and personnel positions supervised. Additionally, the form inquires about the applicant's strengths, qualities, or abilities relevant to working as a licensed administrator.

This form should be used by anyone who has worked with an individual applying for an administrator's license and is willing to provide a professional reference. It is essential to note that only references provided on this form will be accepted, and no exceptions can be made for email submissions or letters. The completed form serves as a vital component of the licensing process, providing a detailed account of the applicant's experience and qualifications.