Employment Providing Direct Care as a Care Partner

Click it to get details and to open the form in order to submit each item  Employees please submit the following:

Biographical Resume or Family Story if you are a family or friend caregiver

2 References

Agency Orientation for employees

 Essential Mandated Minimal Training

5 Master Agreement for Employees

6 Service Types Review

7 BLS Certification (CPR with 1st Aid is okay too)

8 w4 and i9 (EMPLOYEES)

9 Permission to Run Background Checks and ID

10  Plus any relevant licenses (skip if it does apply)

11. Optional but highly recommended; Direct Deposit

***There will be in person training required as well. 

------------------- Depending on your specific duties you may or may not be required to complete the following --------------------


Car Insurance

DMV Report

Drivers License

Car Safety Check

*Here is a car safety check form that you may use. We will also accept one from your mechanic or another state safety inspection form. 

Hosting Clients at Home/Office

Multi-Hazard Safety Training with Safety Plan

Please have each resident of the home who is 18 or older complete the permission to run background checks

Location Review (We will do this with you)

Medication Administration

QMAP State Training Verification (We will check this, if you have not already done this we will send you a link to classes)

QMAP Review

Hands On Care

HCA Competency Skills Validation Part 1

*As you complete this CMS written Skills Validation you will need to generalize terminology as they wrote it with facilities in mind. Also understand that you are completing it as a personal care worker NOT a nursing assistant. When you work you must remain within the personal care workers scope of practice. 

Once you have completed Part 1 please click here and upload your documents

Flu Vaccine