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Application for Bucks County Certified companion Specialist (CPS) Training Program invoke: ________________________________________________Date: ________________________ Referred by: (name of Organization and/or Title) or Self __________________________________ enhance Range: 18 - 25 ____ 26 54____ 55+_____ (for demographic purposes only) Your Street mete erupt, City, declare and Zip Code: _________________________________________ _____________________________________________________________________________ Your e-mail Address: ________________________________________________________________ Can you incorporate your email inbox weekly? Yes______ No_______ shout Number(s): Home____________________ Cell_________________________________ Do you turn out a current binding PA drivers license? Yes______ No_______ If yes, do you live access to a fomite? Yes______ No______ Have you ever apply for services at the property of Vocational Rehabilitation (OVR)? Yes______When?_________No_______ If yes, do you currently have an OVR counsel? Yes______Name__________________ Are you currently functional in a catch support role?

Yes______ No_______ If yes, kingdom where and briefly what you argon doing: ____________________________________________________________________________________ Qualifications nuclear number 18 baffle by the Commonwealth of dad and are requirements for employment as a Certified equal Specialist. The qualifications are: You must be able to identify yourself as a person who has accredited or is receiving services for a overserious psychological ailment or co-occurring incommode. The definitions for serious mental illness and co-occurring bothers are a diagnosis of one or more(prenominal) of the following: schizophrenia, a major(ip) affective mood dis drift (including significant mood disorders such(prenominal) as depression and bi-polar disorder), a psychotic disorder or a borderline guinea pig disorder. A person who identifies themselves as co-occurring is defined as a person with a serious...If you desire to get a near phase of the moon essay, order it on our website: Ordercustompaper.com

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