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Juvenile Community Justice FFT Community Partner Referral Cover Sheet Instructions Complete all sections below. Youth must have significant risks in at least two of the six domains below to be considered
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01
Start by gathering all necessary information about your youth and family members. This may include their full names, dates of birth, addresses, contact numbers, and any other relevant details.
02
Fill out the designated fields or sections on the provided form or questionnaire. Make sure to enter the accurate information for each individual.
03
In the youth section, include details such as the age, grade or year level, school attended, and any extracurricular activities they may be involved in.
04
For the family information section, provide information about the parents or guardians, such as their names, occupations, and contact information.
05
If applicable, provide details about siblings, including their names and ages.
06
You may also be asked to provide information about the family's medical history. Include any known medical conditions or allergies that are relevant to the youth and family.
07
Finally, review the completed form for any errors or missing information. Double-check that all names and dates are spelled correctly and that contact information is accurate.

Who needs youth and family information?

01
Schools or educational institutions often require youth and family information to maintain accurate records and contact details for students.
02
Non-profit organizations or community centers may require youth and family information to assess eligibility for specific programs or services.
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Doctors or healthcare providers may need youth and family information to provide appropriate medical care and treatment.
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Government agencies may request youth and family information for various purposes, such as determining eligibility for certain benefits or assistance programs.
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In some cases, employers may request youth and family information for insurance or emergency contact purposes.
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Youth and family information refers to details about individuals who are under the age of 18 and their family members.
Any organization or entity that works with youth and families, such as schools, healthcare providers, social service agencies, etc., may be required to file youth and family information.
Youth and family information can be filled out using forms provided by the organization or entity requesting the information. The forms may require details about the youth's age, gender, family members, living situation, etc.
The purpose of youth and family information is to assess the needs of young individuals and their families, provide appropriate services, and support their well-being.
Information such as the youth's name, age, gender, family members' names, contact information, living situation, educational background, medical history, etc., may need to be reported on youth and family information.
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