Independent Contractor Information Form

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Do you have a High School Diploma, GED or higher education?

Do you have a Level II Background screening?

Do you have both CPR and First Aid Certificates?

Do you have an AIDS/HIV/Infection Control Certificate?

Do you have a Zero Tolerance Certificate?

Do you have an Attain Inc. HIPAA Certificate?

Do you have a Direct Care Core Competencies Certificate?

Do you have at least 1 year of experience working with individuals with developmental disabilities?

Do you have General Liability Insurance?

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