PARTICIPATION INFORMATION
The Information Form is available at the center or you can click here to print the form.
Our Center operates on a fiscal year basis, which begins July 1
and ends June 30. We have a Voluntary Participation Contribution ($15). We encourage everyone make your voluntary participation in the same month of each year. The date that you last paid
your dues is located on the front cover of your newsletter above
your name and address. If you have any questions, please call and
talk to one of our staff.
For statistical purposes, Chester County Department of Aging requests that we
gather from everyone the last four digits of your social security number, date of birth and minimum income levels. This information drastically affects our funding availability so the more information we have, the more we can help you. *Of course all this information will be kept confidential.
In addition, please notice the Medical Update Section on the back of the form. Please this
important part of the form. For your protection, we need
to be current with all of your Medical Information.
Please come in and update your information form when
you renew your Voluntary Participation Contribution.
Thank you for keeping all of your contact and medical information up to date, it's in your best interest. Your $15 Voluntary Participation Contribution helps us with funds to maintain
programs and services that we provide at the senior center. If you need help in completing
the yearly information data form, please ask for assistance. We'll be glad to HELP. |