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OFFICE USE ONLYStudent Application / Intake Format Received Staff Initials Enrollment Status Entered By (Please PRINT)Last Name: First Name: Address: City: Zip: Home Phone: Cell Phone: Student ID

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What is intake form?

Intake form is a form used to collect information from individuals seeking services or assistance.

Who is required to file intake form?

Anyone seeking services or assistance may be required to file an intake form.

How to fill out intake form?

Intake forms can typically be filled out online or in person by providing accurate information requested on the form.

What is the purpose of intake form?

The purpose of intake form is to gather necessary information in order to assess an individual's needs and provide appropriate services or assistance.

What information must be reported on intake form?

Information such as personal details, contact information, background history, and reason for seeking services may be required to be reported on intake form.

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