Student Email Address Expected Date to complete or Exit School Current Grade level of
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Cellphone Email Address
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https://www.dcf.ks.gov/services/RS/Documents/RS Forms/Request_Verification fillable.pdf
FCL 659 KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES Rev. 02/21 Foster Care Licensing PO Box 1424 Topeka, Kansas 66601-1424 500 SW Van Buren Street 2 nd Floor Topeka, Kansas 66603
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Email
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 659 Relative Waiver.pdf
Kansas 66603 Fax (785) 296-8609 ● Email: DCF.FCL002@ks.gov ● Website: http://www.dcf.ks.gov
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INDIVIDUAL BACKGROUND CHECK REQUEST FOR LICENSED FACILITIES
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One form is required for each
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL_forms/FCL_002_Individual_Background_Check_Request.pdf
SHE DREAMS OF COLLEGE TOGETHER, WE CAN MAKE THAT DREAM HAPPENYOUR CHILD GETS HIGHER EDUCATION YOU GET DEBT
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Noncustodial Parent’s Email Address
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https://www.dcf.ks.gov/services/CSS/Documents/529 Custodial Arrears Booklet 11.16.16.pdf
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.pdf
Prevention Provider Spotlight: Horizons Mental Health Center
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Community Provider Spotlight: Kansas Coalition against sexual & domestic violence
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One of the ways the agency
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Email us at
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https://www.dcf.ks.gov/services/PPS/Documents/FF-newsletters/August 2020_Prevention in Kansas Newsletter.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
Email: jalbert@mchks.com
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Email: erna.schmidtberger@haysmed.com
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Email: suicor@hhf.ks.org
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Email: carol.schopf@mercy.med
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Email: collection@ohscompare.com
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Email: rcradic@saint.lukes.org
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/collection-site-address-list 7-1-14.pdfView duplicates
form to DCF youth programs via email, mail, fax (785-296-4685), or in-person delivery
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not have access to a printer, please email DCF.AdminIL@ks.gov and a copy will be mailed with
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https://www.dcf.ks.gov/Newsroom/Pages/Kansas-DCF-Extends-Deadline-for-Pandemic-Relief-Program.aspx
Section 11 / Part 15 Effective Date: August 20, 2007 Length of document: 5 pages
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time commitment and could include phone, email communications and travel to on-site meetings
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-15_Rehab_engineering.pdf