DEPARTMENT OF PUBLIC SOCIAL SERVICES
VP AAF-27 (REV. 07/2017) SPONSOR INFORMATION Please complete the following (please print clearly): Individual Company/Organization Group ________________________________________ ________________________________________ _________________ Last Name First Name Middle Initial Address:________________________________ ________________________________________ _________________ Street City Zip Code Contact Person (Group/Organization Only): _ Last First Telephone Number: ( ) __________________________ Fax Number: ( ) ________________________ E-Mail: ________________________________________ ________________________________________ __ How did you hear about the Program?________________________________ ___________________________ 1. Would like to sponsor a family that resides in: (indicate desired geographic location) San Gabriel Valley East Los Angeles West Los Angeles Central LA-Hollywood Pomona Valley San Fernando Valley Lancaster-Canyon Country South Los Angeles South Bay-Long Beach Southeast County ( South Gate, Norwalk, Commerce) Pasadena, Glendale, Burbank NO preference, would like to donate where most needed.
VP AAF-27 (REV. 07/2017) SPONSOR INFORMATION Please complete the following (please print clearly): If County employee, please indicate Department/Division/Section:
Download DEPARTMENT OF PUBLIC SOCIAL SERVICES
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
DEPARTMENT OF PUBLIC SOCIAL SERVICES OPEN, DEPARTMENT OF PUBLIC SOCIAL SERVICES OPEN COMPETITIVE, SERVICES, CALIFORNIA – HEALTH AND HUMAN SERVICES, CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, Social Services, Virginia, Application for Benefits, Social Services and Well-being, Social Determinants of Health, Social, Medical genetic services in developing countries