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Screening Form

April 07, 2020
Tuesday

Please open the below PDF file and complete the screening form and submit to HOPES II. Our staff will review the screening and we will contact you for future services. 

Print screening form  and email to Program Coordinator, Sabrina Juarez sabrina.juarez@esc2.us;

Case Managers: Diana Vela diana.vela@esc2.us, Phil De La Garza felipe.delagarza@esc2.us, Patricia Trevino patricia.trevino@esc2.us

We recommend using Google Chrome if you want to fill out this form online.

Click here to fill out form.

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