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Title:	BACKGROUND QUESTIONNAIRE
Summary:
Description:
Keywords:	Background Questionaire
Handle:	Document-4145
Owner:	Site Administrator (User-2, admin:DocuShare)^DS
Create Date:	Monday, July 6, 2009 09:16:55 AM CDT
Modified Date:	Monday, July 6, 2009 09:16:55 AM CDT
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Abstract:	? Child’s mother died ? Child’s father died ? Child’s brother died ? Child’s sister died ? Parents divorced ? Parents separated ? Grandparent died ? Someone in family was seriously injured or became ill (list person): ? Parent remarried ? Father lost job ? Mother lost job ? Family moved to another city ? Family moved to another part of town ? Someone in the family was in trouble with the law (list person): ? Family’s financial condition changed ? Member of family was accused of child abuse or neglect (...
Add Versions:	Allowed
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Content Type:	Microsoft Office Word (.doc, .dot) - application/msword
File name:	BACKGROUND_QUESTIONNAIRE.doc
Is Placeholder:	No
Max Versions:	4
Size:	162304
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Ready for Declare:	No
Appears In:	Forms
Preferred Version:	BACKGROUND QUESTIONNAIRE