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Consultant Name |
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Company Name |
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Phone Number |
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E-Mail |
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Work History (starting with most recent)
Name of Agency |
Date of Employment |
Job Title |
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Name of Institution |
Major/Degree |
Degree Obtained |
Date Obtained |
Name of Certification / Accreditation |
Certifying Agency |
Date Certification was Obtained |
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Specialties (e.g., working with autism, the elderly, employment for people with disabilities or
youth in transition, mental health, experience with assisted technology)
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County/Region I'm familiar with
Dane
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Languages or Communication Skills
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I'm comfortable with pets in the home
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More about me
How do you Partner with people to 'clear the path ahead'?
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What's your favorite thing about being an IRIS consultant?
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What past experience prepared you to become an IRIS Consultant?
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What do you enjoy doing in your free time?
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