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Agency with Choice ServicesPaid Intern Information FormInstructions: Potential Employees should review and/or complete the information below. Paid Intern Information Full Name: ___ Aliases/Maiden
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Research different agencies that offer choice services
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Contact the agency to inquire about their services and availability
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Who needs agency with choice services?

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Individuals who require specialized services tailored to their specific needs
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Agency with choice services refers to a program where individuals receiving services have the option to choose their service provider.
Service providers or agencies providing services to individuals who have the option to choose their service provider are required to file agency with choice services.
To fill out agency with choice services, service providers must report information about the services being offered and allow individuals to make choices among the available options.
The purpose of agency with choice services is to empower individuals receiving services by giving them the freedom to choose their service provider.
Service providers must report information about the services offered, availability of providers, and the process for individuals to make choices.
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