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SENIOR COMPANION PROGRAM Fact SheetClient Name: Date of Birth: Address: City: Zip: Telephone: Marital Status: M/W/D/S: Annual Income Level (circle one): Over $42,500/Under $42,500Household Members/Pets:
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How to fill out senior companion program fact

01
To fill out the senior companion program fact, follow these steps:
02
Start by gathering all the necessary information about the senior companion program, such as the program's purpose, requirements, and benefits.
03
Begin with the personal details section, including the senior's full name, date of birth, gender, and contact information.
04
Provide detailed information about the senior's living situation, including their current address, living arrangements, and any medical conditions or disabilities.
05
Fill in the section related to the senior's income, assets, and expenses. This information is crucial in determining their eligibility for the program.
06
Answer all the questions regarding the senior's preferences and needs, such as their desired activities, hobbies, and areas where they require assistance.
07
If applicable, include any additional information that might support the senior's application, such as relevant medical records or recommendations.
08
Review the filled form to ensure all the required fields are completed accurately.
09
Sign and date the form at the designated space to confirm the information's accuracy and legitimacy.
10
Submit the completed form to the appropriate authority or organization responsible for processing senior companion program applications.
11
Keep a copy of the filled form for your records.

Who needs senior companion program fact?

01
The senior companion program fact is needed by individuals who are interested in or eligible for the senior companion program. These individuals may include seniors who are seeking companionship, assistance, or support in daily activities, as well as their family members or caregivers who are searching for suitable programs to improve their loved ones' well-being and social engagement.
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The Senior Companion Program (SCP) is a program that connects volunteers age 55 and over with adults in their community who have difficulty with daily living tasks.
Organizations that receive funding from the SCP program are required to file the Senior Companion Program Fact.
The Senior Companion Program Fact should be filled out by providing accurate and up-to-date information about the program and the services provided.
The purpose of the Senior Companion Program Fact is to ensure transparency and accountability in the SCP program.
The Senior Companion Program Fact must report on the number of volunteers, the number of adults served, and the impact of the program on the community.
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