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Beaverton Buddies Program. Family Promise of Greater Washington County.
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Parents first and Last name/ El nombre completo de la mama o papa.
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What is your Phone Number/Cual es su numero de telefono?
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What is your email address/¿Cual es tu dirección de correo electrónico?
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Preferred Language/ Idioma preferido
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Preferred contact method/ Metodo preferido para contactarlo
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Please list the names and ages of each member in your household (for example: Jane 7, Jorge 40, etc.)
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You can pick-up at our Beaverton shelter. If this does not work for you, please list below with a preference of receiving these items. Puede recogerlos en nuestro refugio de Beaverton. Si no le resulta posible, indique a continuación su preferencia de recepción.
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List full address (including apartment number and complex name if applicable) Listar dirección completa (Incluyendo el número de apartamento y el nombre del complejo, si corresponde)
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Do you have at least one child who resides in your household and is enrolled in the Beaverton School District? If so, please list that child's/those children's names.
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What race does each member of the household identify as?
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Which option best describes your household structure?
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Is anyone in your household a U.S. Veteran?
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Is anyone in your household a survivor of Domestic Violence?
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Are you at risk of being evicted or losing your housing this month or next?
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Housing Circumstances
What are the main challenges that are contributing to your current experience of housing instability?
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Has your family previously experienced homelessness?
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Requests
Do you understand that not all items on this list will be provided upon request? We are able to supply the items based off of donations FPGWC has recieved.
¿Entiende que no todos los artículos de esta lista estarán disponibles cuando los solicite? Podemos proporcionar los artículos según las donaciones que FPGWC haya recibido.
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Items needed/ Cosas que necesitan?
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*If you are in need of any of the items below. Please include a few days and times you are able to come to our Promise Pantry*
*Si necesita alguno de los artículos a continuación, por favor, indique algunos días y horarios en que puede venir a nuestra Despensa Promise*