Section_J,_ATTACHMENT_5_Computer_Skills_Competency_Form.docx

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Early Intervention Services/ Educational and Developmental Intervention Services
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N62645-19-R-0003
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Attachment 5 Computer Skills Competency Form

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ATTACHMENT 6

COMPUTER SKILLS COMPETENCY FORM

HCW’s name:_________________________________________________________

Position:______________________________________________________________

Company:_____________________________________________________________

Date
Initial

Basic Knowledge

Use of Mouse

Ability to move about in a windows based program

Ability to navigate on the desktop

Ability to draft and print a short memo

Locate files

Open and Close files

Ability to open and reply to email

Ability to Name and retrieve files

Ability to Save & Print Files

Specific Knowledge

Ability to bring system up & shut down

Enter /change password

COMPANY REPRESENTATIVE:

The above named health care worker has been personally tested by me and I certify that he/she is competent in all the areas listed above.

Printed Name

Signature Date

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