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  • Project C.H.O.I.C.E. Application

  • Please fill out your application honestly.

  • Personal Information

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  • I prefer to be contacted on:
  • Is it ok to call?
  • Is it ok to leave you a message?

  • Primary Language

  • Where are you currently staying?

  • How did you hear about us?

  • What are some of your priorities you would like to work on? (check all that apply)

  • Acknowledgement

  • Signature

    I hereby certify that the information contained in this application is true and correct to the best of my knowledge and agree to have any of the statements checked by Orangewood Foundation unless I have indicated otherwise. I authorize any listed contacts to provide Orangewood Foundation with pertinent information that they may have about me.

  • Date
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