Back to My Referrals
Back to My Dashboard
Du62419
Du62419
Candidate Data:
First Name: 
Raylence
Last Name: 
DuBois

Date of Birth:

Age:

11

-

06

-

2010

10

School:

Inter-Lakes Elementary School

Grade:

4

Guardian Info:

First Name:

Norma

Last Name:

Jordan

Address:

388 Daniel Webster Highway Lot #7

Meredith, NH

NH 

03253

Guardian/Family Phone:

Guardian/Family Email Address:

none

Living Situation:

Other

Grandmother/grandfather

Financial Situation:

Medicaid:

Yes

Free/Reduced Lunch:

Yes

TANF:

Yes

SNAP:

Yes

How many live in the household?

3

How many work and/or provide income to support the household?

1

Household Situation:

Organizations / Mentor Programs:

Special Assistance:

Yes, IEP. Diagnosis is specified learning disability for reading. Needs a lot of help with reading/writing.
School counselor visits classrooms 6-8 times a year. Stays in class for math.
Has goals for reading, math.

Health Concerns:

Goes to occupational therapy for visual and fine motor - a little low average in fine motor integration. Is overweight.

Victim of Sexual Abuse:

Not that I know of.

Perpetrator of Sexual Abuse:

no.

Victim of Physical Abuse:

Threatening or Aggressive Behavior:

No.

Required Physical Restraint:

No.

Personality / Social Standing:

Behavioral Patterns:

Remarks: