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INQUIRY FOR SERVICES
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Applicant details
Contact and referral info
Child and service info
Eligibility info
Applicant details
Applicant first name
*
*
Applicant last name
*
*
Email
*
*
Phone number
*
*
Inquiry Source
In Person
Phone
Email
Web
Chat
Inquiry Status
Submitted-Started
Submitted-In Progress
Submitted-Child(ren) added
Submitted-Complete
New
In-Progress
Transferred to Enrollment
Closed
How did you hear about us?
Advertisement
Child care provider
Community event
Community partner
DPSS
Email blast
Employee
Enrolled family
Family/friend
Foothill Transit
Hiring site
Interagency transfer
Internet search
Previously enrolled
Radio ad
Review site (Yelp, etc.)
School district
School flyer
Signage
Social media
Other
Please share details about how you heard about us
*
