Form Soc 179 - Transitional Housing Program Plus Foster Care (Thp+fc) Page 2

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STATE OF CALIFIORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
TRANSITIONAL HOUSING PROGRAM PLUS FOSTER CARE (THP+FC)
PROGRAM NUMBER
Non-Minor Dependent Rate Application
-
-
PAGE TWO
15. LIST CASE MANAGER NAMES AND DEGREES:
NO
NAME
LICENSED
CASE MANAGER DEGREE
1.
Yes
No
2.
Yes
No
3.
Yes
No
4.
Yes
No
5.
Yes
No
6.
Yes
No
7.
Yes
No
8.
Yes
No
Yes
No
9.
10.
Yes
No
PAGE 2 OF 3
SOC 179 (8/12)

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