Individual Training Plan Universal Questionnaire

ITP Universal Questionnaire for Resource Families

Alaska Center for Resource Families
Full Name*

First NameLast Name
Mailing Address

Line 1

Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
Foster Parent Number
TRAINING INFORMATION
Please answer all questions below that apply to the training you are submitting.

Time viewing/listening to books, videos/DVDs, audios, web classes/podcasts, presentations or attending community events related to fostering, adopting, caring for special needs children or other topics related to the care of children in your home can be used toward your Individual Training Plan (ITP) requirements.
Do you currently have an Individual Training Plan?

YesNoNot Sure
Type of Training

Book (up to 100 pages= 1.0 credit ; 101-349 pages=2.0 credits ; 350+ pages=3.0 credits)VideoAudioOnline PublicationWeb Class/PodcastCommunity Event/Presentation *please be sure to include a flyer, certificate of attendance, registration email, etc to document attendance)Other
Training Title:
Publishing Company or Sponsoring Agency:
Web/URL Address:
Presenter/Author(s):
Date of Participation:

MonthDayYear
Video/Audio Hours:
Number of Pages in Book:
Please attach your training certificate if you attended an organized class.

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1. How will this material/training/event help you meet the special needs of children in care as identified in your ITP?
2. Write a short summary of this material/training/event and the main ideas in it that are most relevant to your foster parenting or the children you are caring for in your home.
3. Please list two (2) specific ideas or concepts which you learned or reaffirmed from this material/training/event that you can use in your family or as a foster parent. NOTE: If you did not find anything useful, list at least two reasons why this material/training/event was NOT helpful to you.
#1
#2
FOR CREDIT, CLICK THE SUBMIT BUTTON BELOW.
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ITP Universal Questionnaire for Resource Families