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PRINTED: 10/13/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Obtain a copy of the enrollment application form from the school or institution you wish to enroll in.
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Anyone who wishes to enroll in a school or educational institution needs to fill out an application for enrollment.
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The application for enrollment is for registering or enrolling in a particular program or system.
Anyone who wishes to enroll or register in the specified program or system must file the application for enrollment.
The application for enrollment can usually be filled out online or by submitting a paper form with the required information.
The purpose of the application for enrollment is to collect necessary information from individuals who wish to enroll or register in a specific program or system.
The application for enrollment typically requires personal information, contact details, educational background, and any additional information relevant to the enrollment process.
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