NCC Training Verification Form

CSS Supervisor Name *

CSS Supervisor Email *

CSS Supervisor Phone Number *

CSS Name

Agency Name *

Agency Location *

NCC Case Manager Name *

Neuro Community Care Trainings Completed: *

“Community Support Specialist Orientation" Training

"Professional Boundaries" Training

"CSS Survival Guide"

"Crisis Management" Training

External Readings Completed: *

"Spinal Cord Injury" Information

Webinars Completed: *

"Creating Relationships" Vimeo Webinar

"Framework for Virtual Sessions" Webinar

PsychArmor Trainings Completed: *

"Invisible Wounds of War" 6-Part Training

"15 Things Veterans Want You To Know" Training

Quizzes Completed: *

Classmarker Quiz (scored at least 80%)

By clicking "Submit" below, I acknowledge that the CSS and/or CSS Supervisor listed on this form has completed all of the above trainings. As the CSS Supervisor, I acknowledge that I have reviewed the IP Service Provider Guide with all agency employees working under this contract. I understand that whenever new staff are hired to work with IP warriors, the information will be reviewed as part of the orientation process. Additionally, I understand that any new CSS staff must complete these trainings.

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