Application Instructions for Tribal Support Services

Option 1: Fill out the form on this page. When the form is completely filled out, scroll back to the top of the page and click the “Print” button. The print window will open. Select the destination dropdown menu and select the “Save as PDF” option local to your computer. Then email the .pdf to: info@modoc.cse.org

Option 2: Download the form to your computer. Fill out the form , save it, then email the .pdf to: info@modoc-cse.org

*Signatures are not required upon submission of this form.

We will require "Applicant and/or Custodial Parent" signatures at the first in-person appointment.

Application Instructions for Tribal Support Services

Option 1: Fill out the form online, when the form is completely filled out, scroll back to the top of the page and click the “download ” button. Then email the .pdf to: info@modoc.cse.org

Option 2: Download the form to your computer. Fill out the form then email the .pdf to: info@modoc-cse.org

*Signatures are not required upon submission of this form.

We will require "Applicant and/or Custodial Parent" signatures at the first in-person appointment.