After your parent orientation please fill out the following before your child’s 1st day of school.

Packet 3

INFANTS ONLY

EHS ONLY

Family Partnership Agreement 2

Parent

First Name

Last Name

Family Advocate

Child

First Name

Last Name

Child DOB

MM

DD

YYYY

Statement of Partnership Agreeent

Our family has strengths that we can use to achieve goals. Morning Glory Early Learning Center Staff and parent member(s) of the Morning Glory Early Learning Center agree to work TOGETHER on an ongoing basis to develop and implement an individualized Family Partnership Agreement for identifying and achieving the family goals and aspirations. This document will be reviewed and revised when necessary. Referrals and follow-up efforts will be logged on contact notes. The assessment of progress and outcome measures will be recorded and tracked in the Family Advocate files/Child's folder. Family workers/advocates will collaborate with parents to identify and continually access, directly or through referrals, services and resources that are responsive to their interest and goals in the following areas: *Emergency or crisis assistance (food, clothing, housing, and transportation). *Mental health issues (substance abuse, child abuse and neglect, and domestic violence). *Continuing services needed by the family. *Other services as needed by the family. Information on local services as described will be available at Morning Glory Early Learning Center. Family advocates will follow up with each family to determine whether the kind, quality, and timeliness of the services received through referrals met the families' expectations and circumstances.

My signature affirms my willingness to participate in the Family Partnership Process

The process of developing family goals as part of the Family Partnership has been explained to me by Early Head Start Staff. At this time, I am not interested in developing family goals. I understand that I may develop family goals at a later time during my child's enrollment in Early Head Start.

Pre-existing Family Plan

If there is a pre-existing plan, please sign a Release of Information Form to be retained in the family folder.

Yes

No

Name of Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Person

First Name

Last Name

Reason for Affiliation

Parent Signature

First Name

Last Name

Date

MM

DD

YYYY

Head Start Eligibility

Income Worksheet

Food Program

Health & Oral Examination

EHS

Packet 3

INFANTS ONLY

EHS ONLY

Downloads

Morning Glory
Early Learning Center

Hours

We are proudly NAEYC accredited!