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East Central Illinois Community Action Agency Head Start Program Parent Stipend Form Activity Child's Center and Room #: Please send stipend check to: Please print your name and address and sign:
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East Central Illinois Community is a non-profit organization serving the communities in the east central region of Illinois.
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All individuals and businesses who are affiliated with or receive services from East Central Illinois Community may be required to file.
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To fill out East Central Illinois Community forms, individuals and businesses must provide accurate information regarding their involvement or services received from the organization.
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Information such as name, address, contact information, and details of services received or provided may need to be reported on East Central Illinois Community forms.
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