CCNP: Make An Appointment

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.laccnp.org/appointments/","20080708194336","https://web.archive.org/","web","/_static/", "1215546216"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" />  <title>CCNP: Make An Appointment</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <link href="/web/20080708194336cs_/http://www.laccnp.org/general.css" rel="stylesheet" type="text/css"> <script language="JavaScript" type="text/JavaScript">  </script> <style type="text/css">  </style> </head> <body onload="MM_preloadImages('/_images3/menu_location_f2.gif','/_images3/menu_services_f2.gif','/_images3/menu_appointment_f2.gif','/_images3/menu_agencies_f2.gif','/_images3/menu_calendar_f2.gif','/_images3/menu_library_f2.gif')"> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="2"><a href="/web/20080708194336/http://www.laccnp.org/"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/logo.gif" alt="Central City Neighborhood Partners" width="300" height="97" border="0"></a></td> </tr> <tr> <td width="183"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/top_left.gif" width="183" height="46"></td> <td width="417" align="RIGHT" background="/web/20080708194336im_/http://www.laccnp.org/_images3/top_bg.gif"><a href="/web/20080708194336/http://www.laccnp.org/espanol/index.shtml"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/espanol.gif" alt="Espanol" width="161" height="46" border="0"></a></td> </tr> <tr valign="TOP"> <td background="/web/20080708194336im_/http://www.laccnp.org/_images3/left_bg.gif"><table width="183" border="0" cellspacing="0" cellpadding="0"> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/location/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_location','','/_images3/menu_location_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_location.gif" alt="Location and Tour" name="menu_location" width="183" height="17" border="0"></a></td> </tr> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/services/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_services','','/_images3/menu_services_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_services.gif" alt="Services Offered" name="menu_services" width="183" height="17" border="0"></a></td> </tr> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/appointments/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_appointment','','/_images3/menu_appointment_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_appointment.gif" alt="Make An Appointment" name="menu_appointment" width="183" height="17" border="0"></a></td> </tr> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/agencies/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_agencies','','/_images3/menu_agencies_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_agencies.gif" alt="Collaborating Agencies" name="menu_agencies" width="183" height="16" border="0"></a></td> </tr> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/events/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_calendar','','/_images3/menu_calendar_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_calendar.gif" alt="Calendar of Events" name="menu_calendar" width="183" height="16" border="0"></a></td> </tr> <tr> <td><a href="/web/20080708194336/http://www.laccnp.org/info/" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('menu_library','','/_images3/menu_library_f2.gif',1)"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_library.gif" alt="Information Library" name="menu_library" width="183" height="18" border="0"></a></td> </tr> <tr> <td><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/menu_bottom.gif" width="183" height="19"></td> </tr> <tr> <td><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/logo_city.gif" width="131" height="114"></td> </tr> <tr> <td><table width="160" border="0" cellspacing="0" cellpadding="10"> <tr> <td align="CENTER" class="left">CCNP programs are funded by the City of Los Angeles <a href="https://web.archive.org/web/20080708194336/http://www.cityofla.org/CDD/index.htm">Community Development Department</a></td> </tr> </table></td> </tr> </table></td> <td bgcolor="#006699"><table width="417" border="0" cellspacing="0" cellpadding="20"> <tr> <td><p><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/head_appointment.gif" alt="Make An Appointment" width="329" height="19"></p> <p class="main">You may make an appointment to see us by contacting the receptionist at (213) 482-8618. You may also schedule an appointment by completing the information below and sending it to us via electronic mail. You will be contacted by phone to confirm your appointment.</p> <form> <p><b>Name:</b> <input type="text" size="30" name="name"> </p> <p><b>Address:</b> <input type="text" size="30" name="address"> </p> <p><b>Phone Number:</b> <input type="text" size="30" name="phone"> </p> <p>I am interested in:<br> <input type="checkbox" name="interests" value="Alternative HS Education"> <span class="choice">Alternative HS Education</span><br> <input type="checkbox" name="interests" value="Employment and Training for Youth"> <span class="choice">Employment and Training for Youth</span><br> <input type="checkbox" name="interests" value="Employment and Training for Adults"> <span class="choice">Employment and Training for Adults</span><br> <input type="checkbox" name="interests" value="Gang Intervention"> <span class="choice">Gang Intervention</span><br> <input type="checkbox" name="interests" value="Legal Assistance - Landlord/Tenant"> <span class="choice">Legal Assistance - Landlord/Tenant</span><br> <input type="checkbox" name="interests" value="Legal Assistance - Immigration"> <span class="choice">Legal Assistance - Immigration</span><br> <input type="checkbox" name="interests" value="Medical Assistance"> <span class="choice">Medical Assistance</span><br> <input type="checkbox" name="interests" value="Mental Health, Substance Abuse Counseling"> <span class="choice">Mental Health, Substance Abuse Counseling</span><br> <input type="checkbox" name="interests" value="Parenting Classes"> <span class="choice">Parenting Classes</span><br> <input type="checkbox" name="interests" value="Recreation and Leadership Development"> <span class="choice">Recreation and Leadership Development</span><br> <input type="checkbox" name="interests" value="Youth Advocacy"> <span class="choice">Youth Advocacy</span><br> </p> <p> <input type="submit" value="Make An Appointment!"> </p> <p>  </p> </form> <p><span class="style1"><a href="/web/20080708194336/http://www.laccnp.org/location/">Location</a> | <a href="/web/20080708194336/http://www.laccnp.org/services/">Services</a> | <a href="/web/20080708194336/http://www.laccnp.org/appointments/">Appointments</a> | <a href="/web/20080708194336/http://www.laccnp.org/agencies/">Agencies</a> | <a href="/web/20080708194336/http://www.laccnp.org/events/">Events</a></span><br> (authorized personnel may also enter the <a href="/web/20080708194336/http://www.laccnp.org/info/">Info Library</a>)</p></td> </tr> </table></td> </tr> <tr valign="TOP"> <td align="RIGHT"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/bottom_left.gif" width="23" height="45"></td> <td><table width="417" border="0" cellpadding="0" cellspacing="0" background="/web/20080708194336im_/http://www.laccnp.org/_images3/bottom_bg.gif"> <tr> <td width="48"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/bottom_leftgrey.gif" width="48" height="45"></td> <td width="298" align="CENTER" class="greybox">© 2004 Central City Neighborhood Partners</td> <td width="71" align="RIGHT"><img src="/web/20080708194336im_/http://www.laccnp.org/_images3/bottom_rightgrey.gif" width="71" height="45"></td> </tr> </table></td> </tr> <tr> <td> </td> <td> </td> </tr> </table> </body> </html>

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CCNP: Make An Appointment