Survey/Form Review
YoloLINK Program Update Form
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| Once you have submitted a completed form you will receive an acknowledgement that the form has been successfully sent. If you do not receive an acknowledgement but are taken back to the page displaying the form, please scroll down and check your entries to make sure that all are complete. Thank you for updating your program's entry in YoloLINK! |
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| 1. Name of person who prepared this form: |
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| 8. State: |
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| 10. Mailing Address (if different from street address): |
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| 11. County Courier Number: |
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| 13. TDD/TTY Phone Number: |
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| 14. Toll Free Telephone Number: |
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| 21. Alternative Contact Phone: |
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| 22. Days/ Hours of Operation: |
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| 23. Description of Services: |
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| 25. Eligibility Requirements: |
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| 27. Is there a sliding scale for fees/dues?: |
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| 28. Indicate payment sources accepted for fees or dues: |
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| 29. Application Procedure ( for 1st Client Contact): |
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| 31. Languages spoken/served other than English: |
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| 32. Geographic area served: |
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| 33. Funding/ Budget information (for example, United Way support, 501c(3) status, grants, donations, dues other): |
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| 34. Organizational type of parent agency: |
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| 35. Volunteer opportunities |
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| 36. If volunteer opportunities are available do you provide training? |
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| 38. Accessibility to people with disabilities: |
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| 39. Meeting room or other public-use facility: |
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| 40. Do you provide the following? |
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| 41. Services not provided: |
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