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Grand Forks Head Start Enrollment Application  Grand Forks  Walsh County
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Document Date: 2014-06-02 16:36:36


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Country

Australia / United States / New Zealand / Canada / /

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Motel Room Community Shelter Own / Not Well Adult College Degree/Training Cert Adult College / Apartment House Community Shelter Is / Adult College Degree/Training Cert Adult College / /

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health insurance / /

Organization

Adult College Degree/Training Cert Adult College / /

Person

Start Consent / Start Consent For Child / /

Position

Biological Father Bio-Grandmother Adoptive Mother Legal Guardian No Work Full time Work Part time Disabled Homemaker / Parent/Legal Guardian Date Grand Forks Head / specialist / Advance Training Adult General / Dentist / head / Full time Work Part time Disabled Homemaker / specialist for health or developmental concerns / /

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Is / /

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Alaska / /

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Guardian / /

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cellular telephone / /

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