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For Office Use: Input o Database o Email to Program o Antioch o Remember INTAKE Format: How Did You Hear About Us? What is your immediate concern? Name Last: First: Primary Phone: () M. I: Birth Date:
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Open the form for office use input.
02
Read the instructions carefully before filling out the form.
03
Start filling out the form from the top to the bottom.
04
Enter accurate and relevant information in each input field.
05
If any input field is not applicable, leave it blank or mark it as N/A.
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Double-check the filled-out form for any errors or omissions.
07
Make sure to sign and date the form in the designated spaces.
08
Submit the completed form to the appropriate office or personnel.

Who needs for office use input?

01
Any individual working in an office environment that requires data or information input.
02
Administrative staff who need to record and process information for various purposes.
03
Accountants or finance personnel who deal with financial input and calculations.
04
Human resources personnel who handle employee-related data and input.
05
Data entry operators responsible for inputting data into system databases.
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Office managers or supervisors who oversee office-related tasks and processes.
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Any professional who requires accurate input of information for office use.
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