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Ada Township Open Space Preservation Program Preliminary Land Screening Form Revised: 05/11/04 Date Nominated: Property Address: Parcel Description: Parcel No: File No.: Preliminary Review Prepared
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How to fill out a preliminary screening form:

01
Start by reviewing the instructions: Read through the instructions provided with the preliminary screening form carefully. Make sure you understand the purpose of the form and any specific requirements or guidelines for filling it out.
02
Provide personal information: Begin by filling in your personal information such as your full name, contact details, and any other requested details like date of birth or social security number. Ensure that this information is accurate and up-to-date.
03
Answer the screening questions: The form may include a series of screening questions related to a particular topic or purpose. Answer each question honestly and to the best of your knowledge. Take your time to read and understand each question before providing your response.
04
Provide supporting documents, if required: Some preliminary screening forms may require you to attach supporting documents such as identification proofs, medical records, or academic transcripts. Ensure you have all the necessary documents ready and attach them securely to the form as instructed.
05
Review and double-check: Before submitting the form, take a few moments to review all the information you have provided. Double-check for any errors or omissions. It is important to ensure the accuracy of your details to avoid any complications later on.
06
Submit the form: Once you are confident that all information is correct, submit the form following the provided instructions. This can involve either mailing the form to a specific address, submitting it online through a designated platform, or hand-delivering it to the respective organization or department.

Who needs a preliminary screening form?

01
Applicants for a specific program or position: Preliminary screening forms are often required for applicants seeking admission to a particular program or position. This could include job applicants, prospective students, or individuals applying for specific programs or benefits.
02
Individuals undergoing medical evaluations: Certain medical procedures or treatments may require individuals to complete a preliminary screening form. These forms help in determining the suitability and eligibility of the person for the particular medical evaluation or procedure.
03
Participants in research studies or clinical trials: Research institutions and organizations often require participants to complete preliminary screening forms. These forms help researchers assess the eligibility and suitability of individuals for participation in their studies or trials.
Note: The need for a preliminary screening form may vary depending on the specific requirements and procedures of the organization or institution requesting it.
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The preliminary screening form is a document used to gather basic information about individuals or entities prior to conducting a more thorough evaluation or assessment.
Individuals or entities who are subject to a screening process or evaluation may be required to file a preliminary screening form.
The preliminary screening form can be filled out by providing accurate and complete information requested on the form.
The purpose of the preliminary screening form is to collect essential information that will aid in the decision-making process during a screening or evaluation.
The information that must be reported on the preliminary screening form may vary depending on the specific screening process, but typically includes personal or entity details, contact information, and any relevant background information.
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