"The Work Goes On, The Cause Endures, The Hope Still Lives, and the Dream Shall Never Die." T.M. Kennedy

  1. ASK CCWRO & CCWRO Membership Application

  2. Note: You do not have to be a member to have your question answered.

  3. Name
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  4. Last Name
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  5. Address
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  6. City
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  7. Zip
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  8. Telephone
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  9. Email address
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  10. What type of benefits do you receive?
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  11. How many people in your family?
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  12. What are their ages?
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  19. How much you get in cash aid each month?
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  20. How much do you get in food stamps (CalFresh)?
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  21. How much is your rent?
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  22. How much are your utilities?
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  23. Do you often run out food at the end of the month?
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  24. WHAT IS YOUR QUESTION?
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  25. WOULD YOU LIKE TO BE A CCWRO MEMBER?
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  26. If “yes” please sign below electronically.
  27. Please Click On The Checkbox
  28. Date
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