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Ut77383
Ut77383
Candidate Data:
First Name: 
Evan
Last Name: 
Utgard

Date of Birth:

Age:

06

-

19

-

2010

11

School:

Maple Wood

Grade:

5

Guardian Info:

First Name:

Treena

Last Name:

Utgard

Address:

70 Winter Street

Apt 2A

Somersworth

NH 

03878

Guardian/Family Phone:

Guardian/Family Email Address:

Living Situation:

Single Mother

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:

Evan has been living in Somersworth with his mother and brother. Evan's father recently was in the picture after being out of the home for over a year. This situation did not last long and mom had to leave the home with the boys for emergency reasons related to dad.

Organizations / Mentor Programs:

Evan is part of the Sommersworth football team and he is so happy and involved during football season.

Special Assistance:

Evan currently has an IEP

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: