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HomeMy WebLinkAboutSupporting Document3(attachment VI F, supporting documents) This training was approved by the Developmental Disabilities Program Central Office for Florida supported employment providers in the Developmental Services Program. Cerflcate of Completion Orientation to Supported Employment Pam Miller Presented by: Dale DiLeo, Lead4T er ■ TRAINING RESOURCE NETWORK'. PO BOX-439 • ST, AUGUSTINE, FL 32085-0439 904-824-7121 • FAX: 904-823-3554 • info@trninc.com ■ http://www.trninc.com Jeb Bush, Governor Shelly Brantley, Director District it Office WV 401 N.W. 2nd Avenue, Suite South 82i Miami. Florida 33128 (305) 349-147e fax: 1305) 349-1479 agency for persons with disabilities State of Florida December 10, 2004 United Cerebral Palsy of Miami Attn: Pam Miller 1411 N.W. 14t Ave. Miami, FL 33125 Re: Approval to conduct Supported Employment Pre -service Training Dear Ms. Pam Miller: Thank you for submitting United CerebralnP sy;:of'Miami's proposed Supported �; po-. -. .,,,.:.-:;:;:. Employment Pre -service trainuig ced ) ;;training etli©ds lobjectives, and training agenda. The district and; nttrr Ae,0, h u ; iewed';:ryfihda'ci rents and determined air"� � that United Cerebral Palsy"o a r& brovid ;: t i'ted,Employment Pre- service training to their:qni emplo fees <> ' If you have any questpi sp" Sincerely, Lisa LTriedman-Chavez Supported Employment Coordinator cc: J.B. Black Trainer's raure me agency for persons with disabilities State of Florida 6/28/06 Date Miami -Dade College Presented by Kathy March 23, 2005 11:00 a.m.-12:00 um. • • Lisa Fribtdman-Chavez Developmental Disability Program bilities *••••••• • • 1110•11U• 1111•111111•11• •s• a " • 111 • • 0 0 11 Certificate of Completion This training provides 18 hours of on-line pre -service or continuing education training in the following topic: Orientation to Supported Employment This is to document that: Essen Jackson -Carter United Cerebral Palsy Miami has successfully completed the requirements of the web -based training curriculum: Oct 2005 Presented by: Dale DiLeo, Lead Trainer TRAINING RESOURCE NETWORK • PO BOX 439 • ST. AUGUSTINE, FL 32085-0439 904-824-7121 • FAX: 904-823-3554 • info@trninc.com • http://www.trninc.com �ft>I�,i�yis'#�3��,i€> �:#:�*�li���i�3F.,.I#3.i:?3i<:�$'?�'3.E., w> �; i;L:1� z�^ fir- ;< „>� e�, g: � � ;r i� zl i. S - `$; �• :''�23. `#" Mil 1< co YM' mod # 4.4 This is to certify that Essen JacksonCarter has successfully completed Effective Training at Work Awarded by The National Center for Disability Education & Training University of Oklahoma College of Continuing Education August 3, 2004 Certificate# 0080304 00 IINVx#fix RIFORCERABIBILVEli..ilIMifl1111)14111x�����::� Trainer'sure/Name e... icaid<N.umber: 02970096:; erebral`Pals Association of Mia;rn�x agency for persons with disabilities State of Florida 6/20/06 Date air =Ylre""" fjTCoridffz .ETW 0 R'K University of Florida - Department �of Special Edicf,ation 'This is to Certify that Essen son has completed: Training in Orientat,n toiOSupPop(ot Hollywood, Florida September 15 - 18, 1998 F ' - etwork ''rectos This training is funded in part by the Florida Department of Education. Sup rted Employment Pro ect C , , rdinator t—' --E —4 —4 --E --4 This training was approved by Me Developmental Disabilities Program Central Office for Florida supported employment providers in the Developmental Services Program. Orientation to Supported Employment has completed 18 hours of training on June 21-23, 2004 in Miami, Florida Dale DiLeo, Leadfainer ■ TRAINING RESOURCE NETWORK •..PO BOX 439 • ST. AUGUSTINE, FL 32085-0439 904-824-7121 • FAX: 904-823-3554 • info@trninc.com • http://www.trninc.com J.� Ji 9�i iri' :, i, j v L 111111 IIII 11111111111111111111,1,111111r111111111111.1111rhI 111ilil'HillIKL11111111 I;11111111111!I 11III111111111�1111411111:I;111l1111lIi111:111111►11[11;1II11.11111111111,111111.11II!111.1,1111111r.1111Ill .11111111H1111111111,111- This is to certify that Sami Lerner has successfully completed Effeotite Training. at Work Awarded by The national Center for Disability tduCation & rrrihinq University of Oklahoma College of Continuing Education April 8, 2004 Certificate# SLO40804 'pl t ?:, %� � i j ! �: !'"f g i '; Cilo �. ,.;ij � ii f "9' /n s � ;loll Jilin (I'llllllll�la;,l{IlIIIIII 11,1E11:Il111I1111IAIII1E11I.1111,11 I,I Illll1J13 z111111.11111111111111111 11 1 i EI; . ! ! i s 1 ' 1� Y r I I I 11111 I I IJ IIII I I I1I1111 Il� 1111111 IfI,IIIL1lfllllllJ,iJ.(IIIllllaa�llllla'IEIIiIJ.l.jl�ililli9l.l.l fIIIJilillllllhlllllillsl I r August 24 & 25, 2006 Boca Raton, Florida The 8th Annual Conference Florida APSE - The Network on Employment "Employment for All Start a Revolution" Certificate of Attendance Presented to: Saninii Lerner Vnitet, Cercbral Pa1si of Miami Mich F. Capps, President i r: {Vledicer: 02 .0: 0096;;; d erebral P it jz : ssoc tion of i:ir 6/20/06 Date apd agency for persons with disabilities State of Florida Sami Lerner From: Sami Lerner Sent: Wednesday, May 02, 2007 5:09 PM To: Sami Lerner Subject: FW: Bounced emails From: Dale DiLeo [mailto:trn@fastmail.us] Sent: Thursday, March 08, 2007 10:02 AM To: Sami_Lerner@yahoo.com Subject: Bounced emails Dear Olivia Henry, Congratulations, you have been accepted into the course. Unless you have applied for and received a waiver, your payment or PO has been processed. Your User Name and Password have now been entered into the administration database. You will need both name and password to log on to the course. The User Name you chose at registration is: OliviaH If you have forgotten the password you chose at the time you registered, you may reset it using the procedure described at: http://www.flse.net/forum/password.asp If you have not yet done so, please review the technical requirements page before beginning. It can be found at: http://www.flse.net/Entry/technical.html To enter the course on the start date, please bookmark: http://www.flse.net/entry/entry.aso If for any reason you now find you are unable to participate, please inform the instructor at daled0flse.net as soon as possible. Thank you, Dale DiLeo 00,p le P kirc �a3V� ate, av06?,--(,� sJc4b7 1 11i 1 iil li #11111i1111 211111 11 i11ii i l 111111ili iil1111111/1111lifillailli MI 1111 I liiil tii This is to certify that Olivia Henry has successfully completed Effective Training at Work Awarded by The National Center for Disability Education & Training University of Oklahoma College of Continuing Education January 24, 2007 Certificate# OH012407 } 11llllll111111g111lll11lllll 11f11111111111111 1 11111 111 11 1 .111111 11 r. Fla Provider Medicaid Number: 024970096 Agency: United Cerebral Palsy of Miami, Inc Tor completing tfte GJ trainin9 retate( to Direct Care Goin.petencies Trainin, Xetuirec( bst tfi.e Atecticaict waiver Sertices A-9reefnent I affirm that I have completed the training and understand and acknowledge that if I provide false information in this affirmation, I will have breached the Medicaid Waiver services agreement between APD and myself, and will be subjected to fines and penalties• as provided in the agreement. *nod plo'yee' nature Trainer's Signature D Date ti [Y.? Date :•: f4fIX• -.. ;::.�.-.::::: i.'S&t999 "'.'.. .. ::::'.. :�:::':i�.°. � �� �.:'. '. :.�� _ �--: .:.'.::•. ...• :..< '..?V:.....'�AB9BF �.'::'..A�tltltl9 �+:-�...` .. �. �. Provider Medicaid Number: 024970096 Agency: United Cerebral Palsy of Miami, Inc Tor coinpteting at Gp training retate4 to Direct Gare Goynpetencies Training Regriire( lbij tfe 14e4icaaiet Waiver Services A-greetnent I affirm that I have completed the training a.nd understand and acknowledge that if I provide false information in this affirmation, I will have breached the Medicaid Waiver services agreement between APD and myself, and will be subjected to fines and penalties as provided in the agreement. ,14, (IQ oz(oa /a? Trainer's Signature Date g/Z-/o6 Date