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Tutor / Foster care / ClubZ / Education / Homeschooling / In home tutoring


FOSTER YOUTH SERVICES TUTORING SERVICES APPLICATION / REFERRAL Eligibility Youth, ages 10-18, residing in licensed children institution (group home), foster family agency certified home, licensed foster family home, and
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Document Date: 2013-01-24 13:03:53


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City

Los Angeles / /

Facility

Club Z In-Home Tutoring Total Education Solutions Tel / /

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IndustryTerm

in-home services / /

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Position

FYS counselor / Caregiver Signature Date Signed DCFS Social Worker/Probation Officer / SOCIAL WORKER / OFFICER / NOT DCFS SOCIAL WORKER/PROBATION OFFICER / /

ProvinceOrState

Los Angeles / /

SocialTag