5-12 SP Family Income Self-Declaration

File Type: pdf

File Size: 71 KB

Categories: 5's Family Services Forms

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We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

We are an Oregon Department of Education Child Nutrition and USDA program. Please find the USDA non-discrimination statement by clicking here.

Free language assistance, auxiliary aids, and/or accommodations are available upon request. Please contact (971) 208-0490 or email ode.cnp@ode.oregon.gov

A department of Community Action Team, 125 N 17th St, St Helens, OR 97051

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This website is supported by Grant Number 10CH011993 from the Office of Head Start within the Administration for Children and Families, a division of the U.S. Department of Health and Human Services. Neither the Administration for Children and Families nor any of its components operate, control, are responsible for, or necessarily endorse this website (including, without limitation, its content, technical infrastructure, and policies, and any services or tools provided). The opinions, findings, conclusions, and recommendations expressed are those of Community Action Team, Inc. and do not necessarily reflect the views of the Administration for Children and Families and the Office of Head Start.

5-12 SP Family Income Self-Declaration

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