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Orientation and Mobility Specialist Contact List
Contact information for Orientation and Mobility Specialists, along with option for sharing name and contact information in a database of those willing to work on a contract basis
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First Name
Your answer
Last Name
Your answer
Certification
COMS
NOMC
Certification in Process
Not Certified
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Phone Number
Your answer
E-mail Address
Your answer
City
Your answer
State
Your answer
Present Employer or note Self Employed/Contractor
Your answer
Would you like to be listed in a shared contact list of Orientation and Mobility Specialists? (no answer will be assumed to be a "Yes")
Yes
No
Clear selection
Would like to be listed in a shared/public list of those offering contract Orientation and Mobility services? (no answer will be assumed to be a "Yes")
Yes
No
Clear selection
Which age groups/populations are you willing to work with? Please check all that apply.
Infants
Early Childhood
School Age
Adults
Seniors
Other:
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