Form Ddd-1691a - Article 9 Instructor Application Packet Page 6

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DDD-1691A FORFF (11-17)
Page 6 of 8
CANDIDATE’S NAME
DATE
Possible function(s) of the behavior:
Consequence(s):
8. Identify who must follow Article 9:
Police
Therapists on contract with DDD
DDD Support Coordinators
Community members
Habilitation providers
Day Programs (DTA, DTT, DTS)
Regional Behavioral Health Authority providers
Teachers at elementary schools
Parents (who are not paid providers)
Group home staff
Work programs on contract with DDD (GSE, CBE, ESA/ISE)

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