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Certification Application
Due to the Careblazer Certification holding the highest standards of dementia care, please understand not every application is accepted. You will be contacted with further information if you meet minimum qualifications.
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* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Company Name
*
Your answer
Phone number
*
Your answer
Company Website (N/A if you don't have one)
*
Your answer
Approximately how many direct care staff workers are in your company?
1-10
11-30
31-50
Over 50
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Are you seeking certification for yourself (an individual) or for your facility?
*
Self
Company/Organization
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