NISC Senior Center Accreditation: Intent to Self-Assess Form

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Parent (paying) Organization Contact Information:












What organizations will be undergoing NISC Accreditation?
Senior Center #1 Contact Information:











Senior Center #2 Contact Information:











Senior Center #3 Contact Information:











Senior Center #4 Contact Information:











Senior Center #5 Contact Information:











Senior Center #6 Contact Information:











Senior Center #7 Contact Information:











Senior Center #8 Contact Information:











Senior Center #9 Contact Information:











Senior Center #10 Contact Information:











Senior Center Information:















Maximum of 3 years to complete


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