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Qui sommes-nous ?
Qui sommes-nous ?
Vue d\'ensemble
Notre histoire
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Dans l’actualité
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Rapport annuel
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Localisation des sites
Evénements
Contactez nous
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Notre impact
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Comprendre les défis de notre comté
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Donner et conseiller
Donner et conseiller
Donner et conseiller
Donnez
Que donner ?
Lancer un fonds de bienfaisance
Donations planifiées
Portail Mon Fonds
Conseillers professionnels/avocats
Faire progresser les organisations à but non lucratif
Faire progresser les organisations à but non lucratif
Faire progresser les organisations à but non lucratif
Vue d\'ensemble
Demander une subvention
Bourses d’impact 2024
Centre d’excellence pour les organisations à but non lucratif
Delco donne
Services de gestion
Fonds à but non lucratif
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Formulaire de pré-demande WIC
Formulaire de pré-demande WIC
Nous nous réjouissons de travailler avec vous !
Pour commencer, veuillez remplir le formulaire ci-dessous.
WIC Pre-Application Form
Name
*
Name
Applicant's Information
Applicant's Information
Name
Applicant's Address
*
Applicant's Address
Applicant's Address
Applicant's Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Afghanistan
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Nigeria
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Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
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Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
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Samoa
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Senegal
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Sweden
Switzerland
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Country
Applicant's Email
Applicant's Phone
*
Other Phone (Optional)
Applicant's Date of Birth
Mother's Status
*
Pregnant
Post-partum
Do you have infants or children under the age of 5? *
*
Yes
No
Do You Need Additional Help?
Yes, please share my info
No, don't share my info
We all know that babies don’t come with directions. Could you use the help and support of your own free personal nurse or case manager? Are you in need of help with housing issues or income support? Does your infant have a safe place to sleep? Are you interested in hearing about free classes for new moms and families? The Foundation for Delaware County offers free personal case managers or nurses for pregnant women and new parents. They can help you to connect to community resources and provide parenting education and ongoing support until your child turns 18 months or two years old. "By clicking below, I do/do not give the Foundation for Delaware County WIC Program permission to share my contact information with the Foundation’s Healthy Start and/or Nurse-Family Partnership. I understand that a nurse or case manager will contact me via telephone or email soon to share more information and see if Healthy Start or Nurse-Family Partnership is a good fit for me and my baby."
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