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Document Bank

If you would like to add documents to our document bank, you may email them to ccasparie@youth4change.org.

Please be sure that submission of documents for inclusion on this page does not violate the copyright of any person or entity and that your agency's internal policies will allow you to redistribute documents in this way.

Terms and Conditions

The Family Support Document Bank is a service offered for your convenience by the Strategies program. The purpose of the Document Bank is to allow a place for family support professionals to exchange electronic copies of program forms, policies, and procedures in an effort to reduce work and share effective tools. These documents are not reviewed or endorsed by Strategies staff, their agencies, or the State of California, Department of Social Services, Office of Child Abuse Prevention. If you choose to adopt any of these forms or policies and procedures it is your responsibility to make sure that they meet your needs and adhere to any programmatic or legal guidelines which your programs follow.

Using the Family Support Document Bank constitutes your agreement to these terms and conditions.

Family Support Forms

Word Doc Application and Agreement for Facility Use
(09/28/2007)

Word Doc Assessment Service Plan
(09/28/2007)

Word Doc Authorization for Interagency Exchange of Confidential Information
(09/28/2007)

Word Doc Child Care Illness Policy
(09/28/2007)

Word Doc Child Care Rules
(09/28/2007)

Word Doc Client Intake 1
(09/28/2007)

Word Doc Client Intake 2
(09/28/2007)

Word Doc Client Intake 3, part 1
(09/28/2007)

Word Doc Client Intake 3, part 2
(09/28/2007)

Word Doc Consent to Participate in Program Evaluation 2003/Consentimiento para Participar en el Programa de Evaluacion 2003
(09/28/2007)

Word Doc Encounter Log
(09/28/2007)

Word Doc Family Resource Center Sublease
(09/28/2007)

Word Doc Household Information Form
(09/28/2007)

Word Doc Initial Life Skills Assessment
(09/28/2007)

Word Doc Overall Site Assessment
(09/28/2007)

Word Doc Parent/Legal Guardian Permission Form/Permiso del Padre o Guardian Legal
(09/28/2007)

Word Doc Photo Consent
(09/28/2007)

Word Doc Playtime Evaluation Form
(09/28/2007)

Word Doc Playtime Information Form
(09/28/2007)

Word Doc Playtime Materials Fee
(09/28/2007)

Word Doc Program Space Needs
(09/28/2007)

Word Doc Referral Form
(09/28/2007)

Word Doc Release of Information/Autorizacion Para Dar Informacion Confidencial
(09/28/2007)

Word Doc Service Plan
(09/28/2007)

Word Doc Verification of True Identity, Residency, and Income/Verificacion de Identidad, Residencia e Ingresos
(09/28/2007)

Word Doc Worksheet: Inclusiveness
(09/28/2007)

Word Doc Agreement/Acuerdo
(09/26/2007)

Word Doc Paperwork Checklist
(09/26/2007)

Word Doc Parent and Agency Staff Action Plan
(09/26/2007)


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