Destined for Change Educational Services

Registration Forms

Consent for Release of Information

SASSI Assessent

Personal Data Form – pg 18

Personal Data Form – pg 19

Personal Data Form – pg 20

Attention: Registration forms are for DOEP participants only. DOEP participants are required to take pre-test before class starts and post-test after class ends. Please contact the Administrator at 972-989-4218 to make arrangement. Thank you.

Free Hotline Support Services
If you have an emergency,please dial 911
Domestic Violence Hotline: 800-799-7233
AA Hotline: 800-396-1602 or 800-396-1602
Drug Abuse Hotline: 855-435-5596 or 855-435-5596
National Suicide Hotline: 800-273 TALK (8255)

For all other crises, call your local area law enforcement.

DISCLAIMER
Destined for Change Educational Services does not discriminate on the basis of race, gender, sexuality, religion, creed, or socio-economic status.