Annual Church and Community Impact Form
Program Director Name
First Name
Last Name
TMC Program
Lake County
McHenry County
Church Impact
Please provide information on ways churches who have partnered with the TMC Program this year
How many churches have provided TMC with financial support?
What is the total dollar amount from all churches?
How many churches have provided TMC with volunteer support?
List the churches who provided financial and volunteer support.
Please list other ways community churches impacted the TMC Program. (i.e. hosting Valentine's Day Dinner, Garage Sale, Clothing and Diaper Drive)
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Community Impact
Please provide information on ways community organizations/businesses have partnered with the TMC Program this year.
How many community organizations referred teen moms to the TMC Program? (i.e. middle and high school, Community College, Public Assistance Office)
List the community organizations who referred teen moms to the TMC Program.
How many community organizations/businesses have provided TMC with financial support?
Please list the names of the community businesses/organizations who have financially supported the TMC Program and in what way. (i.e. sponsored a meal for LifeSkills Workshops or a fundraising event, contributed to a fundraising event, financially contributed to a teen mom emergency)
How many community businesses have provided TMC with services for teen moms? (i.e. doctor, dentist, auto mechanic)
How many community businesses have provided TMC with "in-kind" services for teen moms? (i.e. doctor, dentist, auto mechanic)
Please list the names and ways community organizations that have provided TMC with services for teen moms.
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