Leadership Dialogues
The Good, Bad and the Ugly
Date
-
Month
-
Day
Year
Date
Participant Name:
*
First Name
Last Name
House:
*
Grace Lodge
Hope Haven
Redemption Ridge
Exodus
Faith Farm
Heart Change
Peer Coach:
*
No Case Manager
Nicki G.
Mandy I.
Ashley W.
Kim P.
Katie G.
Rebecca G.
Tamara
Christina
Kelly
Jacqueline
JC
Danira
Candy
Sara
Crystal
Terry
Brian M.
Taizak F.
Darren H.
Lance G.
Robby C.
Eric G.
PK
Andrew P.
Jacob P.
Tyler
Randy
Jarrod
William
Tony
Trent
Jason
Eric LT
Nathon
Your Name:
*
First Name
Last Name
Is this person on a contract for anything presently?
YES
NO
NOT SURE
PROBABLY SHOULD BE
Participant update/Highs and Lows
What are your recommendations?
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Should be Empty: