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CLOROX VILLAGE REHAB PROGRAM The information in this form will be held confidential. This is a prescreening form only. It will be used to support an application to the NYS Office of Community Renewal
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The pre-application screening form is a document used to assess eligibility for a program or service.
Individuals who wish to apply for a specific program or service may be required to file a pre-application screening form.
The form can usually be filled out online or in person, and requires providing personal information and answering specific eligibility questions.
The purpose of the form is to determine if an individual meets the necessary criteria for a program or service before submitting a formal application.
Information such as personal details, income, employment status, and any relevant qualifications may need to be reported on the form.
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