Oregon Youth Challenge Program Post Residential Report Form
Case Manager *
Reporter Name *
Your answer
Reporter Type *
Reporter Email *
Your answer
Cadet Name *
Your answer
Cadet Email
Your answer
Class Number *
Reporting Month *
4 Contacts or 4 Hours *
During the reporting period, did you have a minimum of 4 contacts, four hours of contact, or a combination of both?
Contact 1 Type
Contact 1 Date
MM
/
DD
/
YYYY
Contact 2 Type
Contact 2 Date
MM
/
DD
/
YYYY
Contact 3 Type
Contact 3 Date
MM
/
DD
/
YYYY
Contact 4 Type
Contact 4 Date
MM
/
DD
/
YYYY
Does the cadet have a placement? *
Placements are School, Employment, Military, Miscellaneous/Volunteer.
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