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East Central Illinois Community Action Agency Head Start Birth to Five Program Home Base Evaluation Form Families Name: Date: # of Adults: # of Children Evaluator: Beginning Time: Ending Time: Interaction
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East Central Illinois Community is a non-profit organization dedicated to serving the communities in East Central Illinois.
Any individual or organization that operates within the East Central Illinois community and receives funding or services from the organization may be required to file.
To fill out the East Central Illinois Community form, you will need to provide information about your organization, funding sources, services received, and any other relevant details as requested on the form.
The purpose of East Central Illinois Community is to provide support and resources to improve the quality of life for residents in the area.
Information such as funding sources, services received, organizational details, and any other relevant information as requested on the form must be reported on East Central Illinois Community.
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