Back to My Referrals
Gi79330
Gi79330
Candidate Data:
First Name:
Lucas
Last Name:
Girard
Date of Birth:
Age:
03
-
03
-
2011
10
School:
Hinsdale Elementary School
Grade:
4
Guardian Info:
First Name:
Valerie
Last Name:
Girard
Address:
40 Pine St.
Hinsdale
NH
03451
Guardian/Family Phone:
Guardian/Family Email Address:
Living Situation:
Other
Lives with his mother, who is now a single mother. He has a father, who recently left, and is living in MA.
Financial Situation:
Medicaid:
Yes
Free/Reduced Lunch:
Yes
TANF:
SNAP:
How many live in the household?
2
How many work and/or provide income to support the household?
1
Household Situation:
Organizations / Mentor Programs:
Special Assistance:
Health Concerns:
Victim of Sexual Abuse:
Perpetrator of Sexual Abuse:
Victim of Physical Abuse:
Threatening or Aggressive Behavior:
Required Physical Restraint:
Personality / Social Standing:
Behavioral Patterns:
Remarks: