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PROGRAM INTERVIEW AND RECERTIFICATION CHECKLIST Complete a separate form for each household member who is age 18 or older or an emancipated minor. Name: ___ Unit: ___ Phone: ___ #YES NOE mail: ___COMPLETE
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How to fill out 102-program-interview-checklist

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Make sure you have the checklist document available
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Start by filling out your personal details such as name, date, and position
03
Go through each section carefully and provide detailed responses where required
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Review your answers to ensure accuracy and completeness
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Once completed, submit the checklist as per the instructions provided

Who needs 102-program-interview-checklist?

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Individuals who are participating in a 102-program interview
02
Employers who are conducting interviews for the 102-program
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It is a checklist used during program interviews to ensure all necessary information is covered.
All program interviewers are required to fill out the 102-program-interview-checklist.
Fill out the checklist by providing relevant information about the program interview.
The purpose is to streamline the program interview process and ensure all key information is gathered.
Information such as participant details, interview date, program objectives, and outcomes must be reported.
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