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242CalWORKs Forms

Content
2009 Special Programs Certificate of Achievement
Congratulations on your achievement(s)! Please open the attached form, type in your name and the date, and print out. You may bring your certificate to either EOPS or the Black Collegians Program to obtain an official SMC seal. Congratulations again!
6/3/2009 Juliana Parker 1.19 MB 
CalWORKs Application
Prior to your first appointment with the SMC CalWORKs office, complete our CalWORKs application form and bring with you.
7/1/2009 Juliana Parker 34 KB 
GAIN Book Request Form
Please find attached the CalWORKs/GAIN Book Request form. Using the information from www.smc.edu/bookstore, please list all "Required" books using the "New" price. Please bring your completed form to the SMC CalWORKs office for review. Once you purchase the books, please note that you have 10 days to return the original receipt to your GAIN worker.
8/24/2009 Juliana Parker 38 KB 
GAIN Supply Request Form
Please find attached the CalWORKs/GAIN Supply Request form. Please bring your completed form to the SMC CalWORKs office for review. Once you purchase your supplies, please note that you have 10 days to return the original receipt to your GAIN worker. You may list general school supplies, ASB, Health, Student I.D., parking fees and a backpack (if needed) on this form. Please note that the maximum allowable amount for a backpack is $25.00.
8/24/2009 Juliana Parker 49 KB 
Sample Application for Employment12/10/2008 Juliana Parker 68 KB 
Spring 2009 Mutual Support Group Flyer
Please join us for the Spring 2009 Mutual Support Group! Please see the attached flyer for more information.
3/11/2009 Juliana Parker 879 KB 
Verification of Benefits Form
Each semester a new Verification of Benefits form must be completed, signed, and stamped by a student's eligibility worker.
5/28/2009 Juliana Parker 30 KB 
Work Verification Form12/10/2008 Juliana Parker 21 KB 

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