Family Partnership Agreement (1302.52)

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Child's Name *

Goal Areas:

Health & Physical Well Being
Faith & Family
Finances
Education
Social Life

Goals are:

Positive
Practical
Measurable
Have Realistic Time Frames

My goal is to: *

What steps must I take in order to reach this goal? (Be very specific. Use names of people who will help you, schools you will attend, and / or groups you will use as resources.)

Step 1: *

Step 2:

Step 3:

Step 4:

Parent / Guardian Name *

Parent / Guardian Email *

Date Goal Accomplished

All services are provided without regard to race, age, color, religion, sex, disability, national origin, ancestry, or status as a veteran.

CAPE is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, sex, age or disability.

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