House Manager / Graduate Check-in
Resident Name
First Name
Last Name
House
Exodus
Redemption Ridge
Hope Haven
Serenity
Grace Lodge
Faith Farm
Heart Change
Did you attend a 12 Step meeting this week?
*
YES
NO
Meeting Name
*
Date
*
-
Month
-
Day
Year
Date
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
*
Date
*
-
Month
-
Day
Year
Date
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
Date
-
Month
-
Day
Year
Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
Date
-
Month
-
Day
Year
Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
Date
-
Month
-
Day
Year
Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
Date
-
Month
-
Day
Year
Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Add a meeting
YES
Meeting Name
Date
-
Month
-
Day
Year
Date
Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Who is your Sponsor?
Met with Sponsor?
YES
NO
When?
-
Month
-
Day
Year
Date
What Step are you on?
*
Any transition plans?
*
YES
NO
Describe the plans:
Requesting Time Off?
*
YES
NO
When, where and purpose?
Are you current on your fees?
*
YES
NO
N/A
Are you a House Manager / Senior Resident?
YES
NO
Did you have a house meeting this week?
YES
NO
Have you completed your leadership dialogue this week?
YES
NO
Did you meet with your Case Manager this week?
YES
NO
When did you meet with your Peer Coach?
-
Month
-
Day
Year
Date
Other notes:
House and maintenance issues etc.
Save
Submit
Should be Empty: