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2015ADULTPLANNINGTEAMAPPLICATION MONTREATYOUTHANDMIDDLESCHOOLCONFERENCES Rev.8/19/13 PLEASEPRINTLEGIBLYWITHABLACKPEN Name: Birthdate: Address: Street City State Misaddress: Cellphone: Homophone: Occupation:
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The adult planning team application is a form used to request support services for adults with disabilities.
Adults with disabilities or their legal guardians are required to file the adult planning team application.
The adult planning team application can be filled out online or submitted in person at the designated office.
The purpose of the adult planning team application is to assess the needs of adults with disabilities and provide appropriate support services.
The adult planning team application requires information about the individual's disability, support needs, and contact information.
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