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Sc6599
Candidate Data:
First Name: 
Joe
Last Name: 
Schmoe

Date of Birth:

Age:

01

-

01

-

2010

10

School:

Practice JSHS

Grade:

4

Guardian Info:

First Name:

Monica

Last Name:

Monica's last name

Address:

blah

blah

brisol

NH 

03222

Guardian/Family Phone:

Guardian/Family Email Address:

na

Living Situation:

Single Mother

Financial Situation:

Medicaid:

Yes

Free/Reduced Lunch:

Yes

TANF:

Yes

SNAP:

No

How many live in the household?

5

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

0

Household Situation:

High risk for developing issues later

Organizations / Mentor Programs:

Big Brother, Wrestling team at school

Special Assistance:

IEP, daily check-ins with school counselor, 1:1 paraprofessional support

Health Concerns:

no health concersn

Victim of Sexual Abuse:

none

Perpetrator of Sexual Abuse:

none

Victim of Physical Abuse:

was physically abused at age five-six by boyfriend of mother. Police intervention.

Threatening or Aggressive Behavior:

no

Required Physical Restraint:

NA

Personality / Social Standing:

Joe is very social and extroverted. He is like by all his peers. He does sometimes seek attention through negative behaviors, but this is a focus of his daily work with the school counselor. He has made great strides in the fourth grade.

Behavioral Patterns:

When he is overwhelmed, he is slow to seek assistance. He may, instead, act out. His caring and well-trained teacher is alert to this and responds directly .

Remarks:

Unlimited and untapped potential.

Mayhew challenges and helps at-risk New Hampshire boys to believe in themselves, work well with others, and find their best.

Address: Newfound Lake

P.O. Box 120
293 West Shore Rd
Bristol, NH  03222

Email: mayhew@mayhew.org

Phone: (603) 744-6131

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