Host Agency Interest Form Senior Community Service Employment Program (SCSEP) Home ›Aging › Senior Community Service Employment Program (SCSEP) › SCSEP Host Agency Interest Form Senior Community Service Employment Program (SCSEP)Host Interest Form Thank you for your interest in becoming a host agency. Please fill out the information below to receive a host agency agreement and application documents. If you have a questions, please contact us by calling (800) 510-2020 or send an email to daaspg.scsep@hss.sbcounty.gov. Agency Name* Contact Person * First Last Title * Address * Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country Phone * Fax Host Website