Family Partnership Agreement (1302.52)

Web Site

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 Signature

Date

Date Goal Accomplished

812-425-4241

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