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Organization Stamp 2018-2019 Organize. Plan. Succeed. STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF SOCIAL SERVICES PUB 365 (10/17) Organize. Plan. Succeed. 1 2 4 7 8 11 12 13 16 17 19 20 2018-2019 Calendar

2018 2019 January 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 February 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 March 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 February 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 March 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 April 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 May 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 June 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 April 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 May 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 June 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 30 24 25 26 27 28 29 1 July 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 August 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 September 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 July 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 August 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 September 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 October 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 December 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 30 24 31 25 26 27 28 29 1 October 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Identification Name: Address: City: State: Zip: Phone Number: Medical Information Doctor: Phone Number: In Case of Emergency Please Notify Name: Address: City: State: Zip: Phone Number: Relationship:

January 2018 Make school lunches the night before for a better morning. 1 2 3 4 5 6 New Year's Day 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Martin Luther King Jr. Day Observed 21 22 23 24 25 26 27 28 29 30 31 Notes:

February 2018 If you worked last year, remember to claim both the state and federal Earned Income Tax Credit (EITC) at tax time. Contact your worker about free tax-filing help. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Lincoln's Birthday 18 19 20 21 22 23 24 Presidents Day Observed 25 26 27 28 Washington's Birthday

March 2018 Encourage your child s physical activity. Take a walk, fly a kite, or toss a ball. Notes: 1 2 3 4 5 6 7 8 International 9 10 Women's Day 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cesar Chavez Day

April 2018 Expand your horizons by taking classes at a community college. 1 2 3 4 5 6 7 Easter 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Notes:

May 2018 First 5 California offers free resources to help your child learn and grow. Check it out! 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Mother's Day 20 21 22 23 24 25 26 27 28 29 30 31 Notes: Memorial Day

June 2018 Be a positive example for your children by eating healthy and exercising regularly. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Father's Day 24 25 26 27 28 29 30

July 2018 Be aware of the 48-month, lifetime limit on benefits from the CalWORKs program. 1 2 3 4 5 6 7 Independence Day 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Notes:

August 2018 You can get the same STD more than once. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

September 2018 Your children may be eligible to receive free breakfast and lunch at school. Ask your worker about CalFresh. Notes: 1 2 3 4 5 6 7 8 Labor Day 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

October 2018 Talk to your doctor about the best birth control option for you. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Notes:

November 2018 When you stay organized with your tasks and time, you will be more productive. Notes: 1 2 3 4 5 Election Day 6 7 8 9 10 11 12 13 14 15 16 17 Veterans Day 18 19 20 21 22 23 24 Thanksgiving Day 25 26 27 28 29 30

December 2018 Consider your financial readiness before choosing to have another child. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Christmas Day

January 2019 Talk to your worker about training classes offered in your area to help you earn more money. 1 2 3 4 5 New Year's Day 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Martin Luther King Jr. Day Observed 27 28 29 30 31 Notes:

February 2019 File your tax return on time and claim both the state and federal Earned Income Tax Credit (EITC). Get free tax help through the CalFile and IRS websites. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Lincoln's Birthday 17 18 19 20 21 22 23 Presidents Day Observed Washington's Birthday 24 25 26 27 28

March 2019 Keep your children safe by securing them in an approved car seat. Notes: 1 2 3 4 5 6 7 8 International 9 Women's Day 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Cesar Chavez Day

April 2019 Seek out help and support from friends during tough times. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Easter 28 29 30 Notes:

May 2019 Unprotected sex of any type can result in contracting an STD. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Mother's Day 19 20 21 22 23 24 25 26 27 28 29 30 31 Memorial Day

June 2019 Fruits and vegetables are tastier and cheaper if bought in season. Notes: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Father's Day 23 24 25 26 27 28 29 30

Toll-Free Numbers & Informational Websites Nutrition & Exercise USDA Food Guidance System: www.choosemyplate.gov Customized nutrition guide for healthy living. Champions for Change: www.cachampionsforchange.net Nutrition and exercise information. Women, Infants and Children (WIC): 1-888-942-9675 www.wicworks.ca.gov Nutrition information and assistance. Financial Information/Earned Income Tax Credit (EITC) WE Connect You to Money, Opportunity & Dreams: www.calendow.org/weconnect/ Information about EITC and other financial resources. California EITC: http://caleitc4me.org Information about California EITC. Reproductive Health California Family Planning Hotline: 1-800-942-1054 www.familypact.org Referral service to locate family planning providers. Bedsider: 1-888-321-0383 http://bedsider.org Information about birth control options, local family planning providers and pharmacies offering emergency contraception. Henry J. Kaiser Family Foundation: www.itsyoursexlife.com Information and answers about sexual health. Alcohol, Drugs & Tobacco National Drug and Alcohol Treatment Referral Service: 1-800-662-4357 http://findtreatment.samhsa.gov Information and referral service for substance abuse. California Smokers Helpline: 1-800-662-8887 www.nobutts.org Information to help people quit smoking. State Tax Return Free Online Filing: www.ftb.ca.gov/online/calfile Internal Revenue Service (IRS): 1-800-829-1040 www.irs.gov Income tax filing help and locating local tax services. Crisis Services California Youth Crisis Hotline: 1-800-843-5200 www.calyouth.org Information and referral service for teens and parents, assisting runaways and families in crisis. Childhelp USA: 1-800-422-4453 www.childhelp.org Crisis intervention and local referral service for child abuse prevention. National Teen Dating Abuse Helpline: 1-866-331-9474 www.loveisrespect.org Support and information service about dating abuse. National Domestic Violence Hotline: 1-800-799-7233 www.thehotline.org Referral and limited counseling service for domestic violence. U.S. Department of Housing and Urban Development: https://www.hud.gov/states/california/homeless/shelters Information about homeless shelters and local assistance programs. Family Health Medi-Cal Program: www.dhcs.ca.gov/services/medi-cal Medi-Cal for Undocumented Children: www.health4allca.org Information about health care for families. Centers for Disease Control and Prevention (CDC): 1-800-232-4636 www.cdc.gov Information about childhood immunizations, autism and reproductive health. La Leche League: www.lalecheleague.org Breastfeeding information and referral service. Family Services California Department of Child Support Services: 1-866-249-0773 www.childsup.ca.gov Information and referral service for child support issues. Child Care Connection: 1-800-543-7793 www.rrnetwork.org Referral service to locate child care providers. First 5 California: www.first5california.com Information and programs to help kids grow up healthy and ready to succeed in school. Phone numbers and website addresses verified as of October 27, 2017. All persons in the photographs are models and used for illustrative purposes only.

Job Hunting When you are filling out a job application, most potential employers will require you to fill out a section on employment history. Use the space below to record this information so you have it when you need it. For job placement and referrals, employment and training, and labor market information visit the Employment Development Department (EDD) at www.edd.ca.gov or visit the CalJobs website for current job listings at www.caljobs.ca.gov. Start with your most recent employer. Employer: Position: Length of Employment: Supervisor: Phone Number: Company Address: Reason for Leaving: Employer: Position: Length of Employment: Supervisor: Phone Number: Company Address: Reason for Leaving: Employer: Position: Length of Employment: Supervisor: Phone Number: Company Address: Reason for Leaving: Employer: Position: Length of Employment: Supervisor: Phone Number: Company Address: Reason for Leaving: