Services provided in The Home
Date of Activities
Staff & Volunteers Involved
(anyone from the population served by Inner Hope)
(Any individuals not from the Inner Hope community nor receiving support. Example: family of staff and volunteers, service workers, stable church families)
Any Community Events? (only pre-planned events)
(holiday gatherings, birthday parties, house outings of 3+ people)
(list residents who attended)
How many people ate BREAKFAST?
WHO ate breakfast? (list names)
How many people ate LUNCH?
WHO ate lunch? (list names)
How many people ate DINNER?
WHO ate dinner? (list names)
How many people had a SNACK?
WHO had a snack? (list names)
Who stayed overnight at the Home?
Guests of Residents
Staff or Volunteers
List of overnight Residents
List of overnight Resident Guests
List of overnight Staff, Volunteers, or their guests (not IH participants)
List of Life Skills Developed
(Please select all that apply)
Driving (license or practice)
Please write a breakdown for each resident including area developed and time duration (e.g. Ted, Driving Lesson, 1hr 30min)
Church attendance, Bible Study, etc.
Participant Name & Activity
List all Participants SUPPORTED today (not including residents)
(e.g. sleeping overnight, eating, rides, financial support, laundry, storing items, coaching, emotional support, child care, advocacy)
Names & Ages
Any people supported with moves/housing referrals?
Other notes/info not included in the fields above?
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