Long-Term I/DD Residential Settings
Crowd Sourcing Entry Form
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電子郵件 *
New entry/information or Correction/Update?  
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Organization Name *
Street Address *
City *
State *
Zip Code *
Telephone
Setting Type (examples include: Community Group Home(s), Neurodiverse Neighborhood, Residential Campus Community, Continuum of Care, etc.) *
Status *
Description
Website *
Additional notes
May we contact you for more information?
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Phone Number 
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請勿利用 Google 表單送出密碼。
這份表單是在 Together for Choice 中建立。 檢舉濫用情形