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Date:
* Complete all fields and click submit at bottom of page to forward information to SSCI.
Please place a check mark in each box that applies to your Organization:
Volunteer
TLC²
Church Organization
Other
Name of Organization:
Address:
City
State
Zip
Contact Name:
Title:
Telephone Number:
Fax Number:
Email Address:
How many Coaches/Volunteers will be screened annually?
Why Screen Volunteers?
Program Overview
Benefits of Utilizing SSCI
Operation TLC2
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