Selah Place of Oregon County
Selah Place of Oregon County
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SHELTER FORMS

Advocacy Form (pdf)Download
Aggregate Data and Grant Reporting Form 03-2023 (pdf)Download
Confidentiality Agreement (pdf)Download
Emergency Contact & Safety Information Form (pdf)Download
14 Day Evaluation (pdf)Download
Hotline Call Report (pdf)Download
Medical History Form (pdf)Download
Non Residential Intake Form (pdf)Download
Outcome Evaluation Questionnaire (pdf)Download
Release of Information Form 12-2022 (pdf)Download
Residential Intake Form (pdf)Download
Security Cameras Notification (pdf)Download
Service Provision Form (pdf)Download

policies

Employee Handbook 03-2023 (pdf)Download
Medication Policy (pdf)Download
Operating Standards - Policies and Proceudres 02-2023 (pdf)Download
Rights and Responsibilities (docx)Download

Outreach

Outreach Procedure 03-2023 (pdf)Download

COURT ADVOCACY FORMS

Lethality Assessment (pdf)Download
Medical Records Release Authorization (pdf)Download
Voluntary Statement (pdf)Download

crime victim's compensation

CVC Brochure (pdf)

Download

Guidelines for Providers (pdf)

Download

Application & Instructions (pdf)

Download

Employee Forms

Background Check Consent (pdf)Download
Employee Performance Review (pdf)Download
I-9 Form (pdf)Download
Job Application (pdf)Download
Staff Confidentiality Policy (pdf)Download
Tax Exempt Letter (pdf)Download
Timesheet (MS Word version) (doc)Download
Timesheet (PDF version) (pdf)Download
W4 Form (pdf)Download

Reporting

Quarterly Reporting Template (xlsx)Download

Logo Files

Original Logo (png)Download
Original Logo Symbol (png)Download
Grayscale Transparent (png)Download
Transparent Logo (png)Download
Facebook Cover Image (png)Download
Facebook Profile Image (png)Download
Zoom Background (black) (png)Download
Zoom Background (original) (png)Download
Zoom Background (white) (png)Download

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