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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: