Parent/Guardian/CASA

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We are creating an organized database for all of our contacts. We want to better support you and connect you to the areas that will benefit you and your teens the most. This information will remain confidential. Please help us by filling out this information below.

Email *

1.What is your name?

2. What is the best way to contact you? Cell phone, and/or email? (Please add your cell phone number/email below)

3. How did you find Common Thread?

4. What hopes do you have for your teen(s) participating in Common Thread events? Any concerns?

5. How can Common Thread support your family? How can they support your teen(s)?

6. What are some goals your teen(s) currently has or you currently have for them?

7. Are you having any behavioral issues with your teen(s)?

Yes

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8. What are some activities your teen(s) would like? What topics would they enjoy and/or benefit from learning about?

9. How are you and your teenager(s) connected?

Child

Child in Foster Care

CASA

Grandchild

Other

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10. For transportation to and from events/programs,

I can drive my teen(s) to and from events

I can drive my teen(s) as well as other teens to and from events

I will need help with transportation

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11. Have you had a background check done within the last two years?

Yes

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