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Purposely Chosen 360
By completing this contract, I agree to make a commitment to participate in the Purposely Chosen Teen Enrichment Program. My parent/guardian and I know that this is an exciting opportunity to be a part of it will help me the dream, believe, and achieve without limits!
I understand we will be having important conversations about issues of interest and concern to girls my age. I also understand that we will be having fun with many creative activities that will help us practice:
Competence – enhancing social, academic, cognitive, and vocational skills
Confidence – improving self-esteem, self-concept, self-efficacy, identity, and belief in the future
Connections – strengthening relationships with peers, family, and teachers
Character – increasing self-control, decreasing health-compromising behaviors and encouraging morality
Caring/Compassion – improving empathy and identification
Contribution – encouraging to give back and participate in community and outreach
initiatives
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Student First Name
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Student Last Name
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Your answer
Age
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Your answer
Grade
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School
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Your answer
Caregiver's First Name
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Your answer
Caregiver's Last Name
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Caregiver's Email
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Your answer
Phone
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Address
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Your answer
What does your daughter need the most support with?
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Any additional questions, comments or concerns?
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Your answer
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