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PO Box 8806 Harrisburg, PA 171058806Need Help? Call 18002257223Applying for Self or Self and Spouse SECTION A. APPLICANT INFORMATION Applicant Last NameFirst Name/Gender M or Applicant Social Security

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How to fill out pace new enrollment application

01

Step 1: Go to the PACE website and locate the enrollment application form.

02

Step 2: Fill out personal information such as name, address, phone number, and email.

03

Step 3: Provide information about previous school and grade level.

04

Step 4: Include any required documents such as transcripts or proof of residence.

05

Step 5: Review the application for accuracy and completeness before submitting.

Who needs pace new enrollment application?

01

Students who are interested in enrolling in PACE program.

02

Parents or guardians of students looking to enroll in PACE.

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What is pace new enrollment application?

PACE New Enrollment Application is the form used to apply for enrollment in a PACE program.

Who is required to file pace new enrollment application?

Individuals who wish to enroll in a PACE program are required to file the PACE New Enrollment Application.

How to fill out pace new enrollment application?

The PACE New Enrollment Application can be filled out online or submitted in person at a PACE program office. It requires basic personal information, medical history, and consent forms.

What is the purpose of pace new enrollment application?

The purpose of the PACE New Enrollment Application is to collect information about individuals seeking to enroll in a PACE program in order to assess their eligibility and provide appropriate care.

What information must be reported on pace new enrollment application?

The PACE New Enrollment Application typically requires information such as name, address, date of birth, medical history, medications, and contact information for emergency contacts.

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