PPS 1011 State of Kansas REV Apr. 18 Department for Children and Families Child Abuse and Neglect
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Agency Name: Mailing address: Email Address: Phone Number: ( ) I understand that all
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_1000_Forms/PPS1011.pdf
Summer Work-Based Learning Experiences for Pre-Employment Transition Services (Pre-ETS
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contact information including an appropriate email address. • The student learns how to find
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Service Description_Providers_SumerPaidWBL- 12-01-2021.pdf
Client email address (if known
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If client has obtained employment in their field of study, please complete
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Copy to: CCDF Program Specialist, Administrative Office
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-1640a_8_14.pdfView duplicates
EMAIL
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555 S Kansas Ave Topeka, KS 66603
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Kansas Department for Children and Families Foster Care Licensing and Background Checks Division
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320 S Broadway St Pittsburrg, KS 66762
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCBC Contacts Rev 3-20.pdf
Thank you for your interest in
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Telephone Number: Alternate Telephone Number: Email Address: Are you exempt from
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Name: Address: Telephone Number: Fax Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-13 ES-1651 Unregulated Child Care Provider Enrollment -DCF.pdfView duplicates
State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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Can this email address be used to make contact
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-14 ES-1652 In-Home Child Care Provider Enrollment -DCF.pdfView duplicates
Contact email: Please submit this form and any
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You may also call FCCC at 785-368-8594
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/FCCC Child 2020 School Schedule Form - Fillable Accessible.pdfView duplicates
Department for Children and Families Appendix 7H
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Prevention and Protection Services Rev. Jul-2015
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Please contact the Independent Living Coordinator
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Email/Phone
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_7H.pdf
Are you ready to take the Next Step
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Want to increase opportunities for interpreting in your community
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Travel, Meals & Lodging sponsored by Sorenson Communications Questions: Email
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https://www.dcf.ks.gov/services/RS/Documents/DIATraining.pdf
As a relative, you are not
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Can this email address be used to make contact ⃝ Yes ⃝ No
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State: Zip: Primary Telephone Number: Alternate Telephone Number: Email Address
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-15 ES-1653Out of Home Relative Child Care Provider Enrollment.pdfView duplicates