Calocus Training Form PDF Details

The Calocus Training form is a crucial tool designed for employees within specific agencies who are seeking training in CALOCUS (Child and Adolescent Level of Care Utilization System) or LOCUS (Level of Care Utilization System). This structured form serves as a formal request to obtain necessary training, ensuring individuals are equipped to assess and address the needs of their consumers appropriately. By providing essential personal details such as the employee's name, agency, title, and contact information, the form initiates the process to determine the necessity of training based on the employee's previous experience with LOCUS or CALOCUS assessments. It requires applicants to self-evaluate whether they have never completed an assessment, have not received any formal training, or if it has been over a year since their last assessment—criteria that mandate participation in further training. Conversely, for those actively using LOCUS/CALOCUS or who have previously been trained, the form offers an option to bypass additional training with supervisor approval. A critical aspect of the form includes the decision between CALOCUS training for those working with children, youth, and families, and LOCUS training for those assisting adults, highlighting the form's adaptability to specific service populations. Once completed, the form must be endorsed by the employee, their supervisor, and the agency-based CALOCUS/LOCUS trainer, emphasizing the collaborative effort in the training authorization process. Lastly, the provision of a contact at DMH Provider Relations for questions denotes a supportive network ensuring clarity and accessibility in the training request process.

QuestionAnswer
Form NameCalocus Training Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescalocus, LOCUSTrainer, calocus training 2019, locus training 2019

Form Preview Example

Training Request Form – To Be Submitted to AgencyBased CALOCUS/LOCUS Trainer

CALOCUS/LOCUS Training Request Form

Employee Information

* Last Name:

* First Name:

Date:

* Agency:

* Title/Role

* Telephone Number :(

)

* E-mail:

*Do you need CALOCUS or LOCUS training? Please read and place a check in the box next to the criteria that is true for you before responding “yes” or “no.”

___Yes, I need to receive training on the CALOCUS and/or LOCUS, BECAUSE:

I have never completed a LOCUS/CALOCUS assessment;

I have never received LOCUS/CALOCUS training; OR

It has been over one year since I completed a LOCUS/CALOCUS assessment.

If you checked any of the above criteria, you must attend training. Choose the type of training you will need (below), obtain appropriate signatures on this form, and deliver to your agency-designated CALOCUS/LOCUS trainer.

___No, I do not need to receive training on the CALOCUS and/or LOCUS, BECAUSE:

I use the LOCUS/CALOCUS on a regular basis with my consumers; OR

I have received LOCUS/CALOCUS training in the past;

If you checked any of the above criteria, you may opt out of training with your supervisor’s approval. Please obtain appropriate signatures on this form, and deliver to your agency- designated CALOCUS/LOCUS trainer.

If you need training, which type do you need?

I work with children, youth and families; I need CALOCUS training

I work with adults; I need LOCUS training

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(Signature) Employee

Date: mm/dd/yyyy

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(Signature) Supervisor or Designated Authority

Date: mm/dd/yyyy

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(Signature) Agency-Based CALOCUS/LOCUS Trainer

Date: mm/dd/yyyy

Please contact Ms. Joycelyn Alleyne of DMH Provider Relations, at Joycelyn.alleyne@dc.gov, or (202) 673-4305 if you have questions about completing this form

Form Last Revised 3/18/2009

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