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Candidate Data:
First Name: 
Nicholas
Last Name: 
Smith

Date of Birth:

Age:

02

-

08

-

2011

11

School:

Marlborough

Grade:

4

Guardian Info:

First Name:

Shawnna

Last Name:

Young

Address:

154 Main Street

Marlborough

NH 

03455

Guardian/Family Phone:

Guardian/Family Email Address:

Living Situation:

Mother w/ live-in boyfriend

Financial Situation:

Medicaid:

Yes

Free/Reduced Lunch:

Yes

TANF:

No

SNAP:

No

How many live in the household?

4

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

1

Household Situation:

Nick currently lives at home with his biological mother, half sister, and mom's boyfriend (who refers to himself as Nick's dad). I am not aware of a relationship between Nick and his biological father. Nick seems to have a positive relationship with his half sibling and both adults living within the home.

Organizations / Mentor Programs:

None known

Special Assistance:

Nick has an IEP. He is not someone who regularly seeks out the school counselor. Each class receives weekly social emotional lessons from the counselor.

Health Concerns:

None known

Victim of Sexual Abuse:

None known

Perpetrator of Sexual Abuse:

None known

Victim of Physical Abuse:

None known

Threatening or Aggressive Behavior:

None known

Required Physical Restraint:

None known

Personality / Social Standing:

Nick is a bit of a quirky student. He does have relationships with many of his classmates. He is sought out when students are allowed to pick partners and their own small groups. Nick often needs redirection in class because he is very chatty and often having his own side conversations. He will respond but does need frequent redirection. When Nick is faced with a task he perceives as challenging, he has difficulty starting and needs support. I would say that Nick's self esteem at baseline is moderate, but drops quickly when he thinks a task is challenging.

Behavioral Patterns:

Nick can shut down when something he faces is challenging. Nick also will do things like pull his hood up and put his head down on his desk when he is having difficulty engaging in an activity. Nick is very social and has many side conversations in class. I have not yet determined if these conversations are due to the fact that he enjoys being social, or may be work avoidance. Nick is well liked by his peers and has a silly personality. He does have positive relationships with his classroom teacher, para, and peers.

Remarks:

Nick has the ability to be a strong leader, but does not always show these skills when he perceives a task as difficult or when he is not confident in his skills. Nick has the ability to build positive relationships with staff and peers and would greatly benefit from the community offered at Camp Mayhew. I think that giving Nick a place to shine, show his positive skills and build more social and emotional regulation skills would be an incredible opportunity. As he is not a student that is involved in many extracurricular activities, I think that Camp Mayhew would offer many activities outside of academics that will give Nick a chance to shine. I think he would really enjoy all of the summer camp activities, enjoy building relationships with the other boys, and learn skills through play and sports that would greatly help build his confidence in all aspects of his life.