Laserfiche WebLink
COMMUNITY-BASED ALTERNATIVES <br /> <br /> ProQ~am Agreement <br /> <br />County: Effective Date: <br />Name of Program: <br /> <br /> Address <br /> <br />Contact Person or Program Director: <br /> <br /> Address <br /> <br /> Phone <br /> <br />Type of Program: <br /> Clients ~erved Clients Served <br />Residential in FY 76-77 Non-Residential in FY 76-77 <br /> <br /> Group Home I ~ Youth Services Bureau <br /> Shelter Care l 1 Alternative School <br /> <br /> Special Foster Care [~ Volunteer Program <br />I ' I Client Capacity Other <br /> <br />Referral Sources; <br /> <br />Goal of Program: <br /> <br />Statement of measurable objectives: <br /> <br /> <br />