Leadership Dialogues
The Good, Bad and the Ugly
Case Manager:
*
Kelly
Ethan
Jacob
PK
Lance
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Name:
*
First Name
Last Name
House:
*
Grace Lodge
Hope Haven
Exodus
Faith Farm
Heart Change
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?
Submit
Should be Empty: