Initial Training Submission

Initial Training Submission

Thank you for completing all the required components of your initial training. This training ensures compliance with 245D guidelines for staff providing services under this license. Submitting this form serves as your official confirmation that all training requirements have been fulfilled. We appreciate your dedication and hard work in staying informed, compliant, and prepared.
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please read each item carefully. By selecting the checkboxes below, you confirm that you have completed all the required components of Initial Training.*

Read the Employee Handbook and submitted the acknowledgement pageRead the EVV (Electronic Visit Verification) instructions located in the Employee Resources section of the Bridgeway website.Reviewed Caregiver Expectations
PCA workers ONLY. By selecting the checkbox below, you confirm that you have completed the required components of Initial Training.

Reviewed the PCA Policy Handbook and understand the policies and procedures outlined.
Do you have a current PCA/CFSS certificate dated after 4/15/2020?*

YesNo
How would you rate your understanding of Mandated Reporting for Adults.*

1

2

3

4

5

1 is I do not understand at all., 5 is I have proficient knowledge of digital marketing.
Submit certification for Mandated Reporting for Adults. (optional)

Cancelof
How would you rate your understanding of mandated reporting for Minors *

1

2

3

4

5

1 is I do not understand at all., 5 is I have proficient knowledge of digital marketing.
Submit certification for Mandated Reporting for Minors. (optional)

Cancelof
How would you rate your understanding of the Basic First Aide Training? *

1

2

3

4

5

1 is I do not understand at all., 5 is I have proficient knowledge of digital marketing.
How would you rate your understanding of the Data Privacy Policy? *

1

2

3

4

5

1 is I do not understand at all., 5 is I have proficient knowledge of digital marketing.
How would you rate your understanding of the de-escalation training? *

1

2

3

4

5

1 is I do not understand at all., 5 is I have proficient knowledge of digital marketing.
Training Quiz

Personal Centered Approaches and Positive Support Modules
1. What is the primary goal of person-centered practices in Minnesota?*
2. Person-centered practices are built around the idea that:*
3. What is the difference between “person-centered practices” and “person-centered planning”?*
4. What is an example of “important to” a person in person-centered planning?*
5. Which federal rule supports the use of person-centered practices in Minnesota?*
6. Do I get paid for mileage or meet and greets?*
7. Am I allowed to provide services for my client in a place that isn’t their home?*
8. True or False: Person-centered practices only apply to adults.*
9. True or False: Is it okay to bring my family or a friend to work with me at a client’s home?*
10. If either my client or I call the police or emergency personnel while I’m on the job, does it automatically qualify as an incident report?*
Submit completion certification for Person-Centered Practices in Support Planning (optional)

Cancelof
Submit completion certification for Person-Centered Practices in Support Planning (optional)

Cancelof
By signing this document, you acknowledge that you have completed the training and understand the information provided. You also recognize that this training must be reviewed and completed annually as part of ongoing compliance requirements.
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Type a question
Should be Empty:

Initial Training Submission

Training Quiz