Required Element	Required Documentation
It is the responsibility of the director to ensure that the background has been reviewed of each person who is applying to work or volunteer in your program. This review requires the completion and submission of certain paperwork.	The following documentation must be accessible in each staff member's file in order to be in compliance with the regulation: 1)    Copy of completed Statewide Central Register Clearance Form (LDSS-3370) and Response Form. 2)    Copy of completed Fingerprinting Information Form and Response Form on Background Check. 3)    Resume or statement or summary of each applicants employment history. 4)    Employment Application 5)    References - names, addresses and day time telephone numbers of either: ·         (3) three written references, other than relatives, at least one of whom can verify employment history, work record and qualifications, and at least one of whom can attest to the applicant's character, habits and personal qualifications; or ·         (3) references with contact information and verification that they were spoken to with comments and name of person making the call with date and time.  6)    Criminal History Review with Crime Statement - a sworn statement by the applicant indicating whether, to the best of the applicant's knowledge, he/she has ever been convicted of a misdemeanor or felony in NYS or other jurisdiction. 7)    Medical Statement - statement from a health care provider prior to beginning employment and every two years after, including results of a Mantoux tuberculin test which was performed within the 12 months preceding the date of the statement. The Medical Statement requires two different date stamps - one for the medical test (with TB test) and one for the TB results.   Note: All staff files need to be kept on site. The only staff documents needed for the renewal of the program are the crime statement, fingerprint results, SCR results and training documentation.