PERSONAL INFORMATION
- APPLICATION FOR EMPLOYMENT (ENGLISH/SPANISH)
- RESUME
- HIGH SCHOOL / GED DIPLOMA
- DRIVERS LICENSE
- SOCIAL SECURITY
- INS-STATUS
- RESIDENT CARD
- PASSPORT
- BIRTH CERTIFICATE
- VOTER’S REGISTRATION
- CAR INSURANCE
- CAR REGISTRATION
- PHYSICAL EXAM / TB FORM
CONTRACTS & BACKGROUND INFORMATION
- LOCAL BACKGROUND SCREENING (ORIGINAL)
- FINGER PRINT
- MUST BE A LIVESCAN FINGERPRINT THROUGH AHCA.
CERTIFICATES
- CNA License // HHA Certificate // Agency Administered Competency Test
- CPR Certificate: Must be Certified by Acceptable Agency*
- First Aid Certificate: Must be Certified by Acceptable Agency*
- Bloodborne Pathogens: Must be Certified by Acceptable Agency*
- *HIV/AIDS Certificate
- *OSHA Certificate
- *Assisting Patient/Client with Self-Administered Medication
- *Infectious Disease & Pathogen Certificate
- *Alzheimer’s Certificate
- *Domestic Violence Certificate
- *TRAIN Florida – HIPAA Attain
THE FOLLOWING IS REQUIRED IF YOU WORK WITH INDIVIDUAL’S IN THE MEDICAID WAIVER:
- TRAIN Florida – Direct Care Core Competencies Training (DCCC)
- TRAIN Florida – Zero Tolerance – A Statewide Initiative
- *TRAIN Florida – Medication Error Prevention and Medication Administration
*certificates are valid for only 1 year.
Acceptable Agencies: American Health and Safety Institute, American Red Cross, EMS Safety Services, Inc. Emergency Care and Safety Institute, Florida Department of Health, National Safety Council, Tallahassee Community College.