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Ki82028
Ki82028
Candidate Data:
First Name: 
Michael
Last Name: 
Kimball

Date of Birth:

Age:

12

-

25

-

2011

10

School:

New Hampton Community School

Grade:

4th

Guardian Info:

First Name:

Michelle

Last Name:

Griffin

Address:

30 Lower Oxbow Road

New Hampton, NH

NH 

03256

Guardian/Family Phone:

Guardian/Family Email Address:

Living Situation:

Financial Situation:

Medicaid:

Free/Reduced Lunch:

TANF:

SNAP:

How many live in the household?

0

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

0

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: