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Family and Individual Development Program of Work Report From July 1, 2016, to June 30, 2017, Name of person completing this form: Phone: Email: For clubs reports: (Club reports are due to the County
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To fill out the name of the person completing, start by writing their first name.
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Next, write their middle name (if applicable) after their first name.
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After the middle name (if applicable), write the person's last name.
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Name of person completing is John Smith.
The employer is required to file name of person completing.
Name of person completing must be filled out by typing the full name of the individual.
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The information reported on name of person completing is the full name of the individual.
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