Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Just a couple of questions:

PCHS is approved to be a training location for the SCSEP program. On the SCSEP program, older workers are paid up to 20 hours a week to train at PCHS. This form will give us the information to share with the SCSEP program. They will contact you to tell you more about the program and determine if you are qualified.

Are you 55 years old or older?

YesNo

What questions do you have for PCHS about the training assignment duties that you would be doing if qualified?

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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Senior Community Service Employment Program (SCSEP) Inquiry Form

Personal Information

Just a couple of questions: