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Your Community Link

To provide information on an agency not yet listed, fill in as much of the following information as possible.  To update information, please show Agency Name and Program Title and indicate changes to be made.   Please include the name and telephone number of person completing form so that information can be verified.
Agency Information:
Type of Update No changes to Report    Changes shown below    Program no longer exists/please delete 
New agency or program
Agency Name:
Program Title:
Name of Person Completing Form:
Title:
Date Completed:
Contact Person:
Mailing Address:
Street:
City:
State/Zip:
Street Address:
Street:
City:
State/Zip:
Primary Telephone Number:
Alternate Telephone Number:
Is this an:: Additional Line After Hours Toll Free:
TDD/TTY Number:
Fax Number:
Email Address:
Program Description
(services, function, activities):
County Served:
Check all that apply		 Somerset Wicomico Worcester
Area Served (this may be neighborhood, town, region, etc.):
Directions/public transportation Information:
Languages: Sevice or assistance available. Describe service or assistance available in any language other than English:
Hours (or meeting times):
Eligibility/Fee Information:
Funding Source
(check all that apply):
Federal United Way
State Fee for Service
Local Government Other
Parent Organization:
Licensed By:
Alternate Agency Name
(any other name the public might use to look for your group):
Volunteers Needed?
If so, please provide details on duties and requirements:		 Yes No
Volunteers Provided?
If your group makes volunteers available, please describe purpose and request process:		 Yes No
Describe accessibility for persons with disabilities:
Web Address (URL) for your organization's web page:
Other information:
Use this to include any other information that you feel would be valuable to the public:

Your Community Link: provides information regarding government, non-profit, and community organizations and programs serving residents of Somerset, Wicomico and Worcester Counties on the Eastern Shore of Maryland. It is maintained by the Tri-County Consortium, which includes the county libraries from these three counties plus the Eastern Shore Regional Library. In maintaining and making available this file, the member libraries strive to effectively fill their role of providing needed information to the public.

The information you provide here will be publicly accessible on the Internet. This makes it available not only to anyone with a home computer, but also to anyone using the Internet in a public library, school or community computer lab, or office setting.

The form below is your chance to have information about your agency and program included in the file. Please complete it as completely and accurately as possible. We recognize that not every organization will have information to add in all the areas.

The information provided will be public. If there is information regarding your agency that is confidential, please do not include it.

Please note that the inclusion of an organization in this file does not constitute an endorsement by the libraries and that the libraries will determine eligibility for inclusion. Community Information changes quickly. Please remember to let us know when changes should be made regarding your program. Changes can be made by mailing to Post Office Box 4148, Salisbury, MD 21803; or by email to cif@wicomico.org; or by faxing to 410.548.2968. You can also choose to complete this form online. Whenever you request changes, please remember to provide a name and phone number so the information can be verified.

If you have any questions regarding Your Community Link or agency information form, please call 410.749.3612 ext. 40.

 

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