" NEW SUBSCRIPTION HAPPY TO ACCOMMODATE YOUR REQUEST DOWNLOADABLE FORM back to the tools for centers Country: Center: Who is filling the form? Email Address: Name: Last name: Date of birth: GenderFM Class: Send us an updated photo of him/her! How many brothers/sisters does he/she have: Description of the child and his/her family (history of the child and the family, family members, situation and conditions of the family and their home, character and description of the child and what he/she enjoys doing, academic performance, health condition of the child) What is his/her family situation?What is his/her family situation? Reasons for subscribing the child to the Project and date since the child has been attending activities in the center/hostel (please, write why you chose to subscribe the child to the Project and how long he/she has been attending activities there): What does he like to do in his/her freetime? Please specify child behavior, personality, taste (food, sport), hobbies, any personal information? Health condition: GoodPrecariousDiscreet Need medical attention?YesNo What medicines does he/she need? The Child nutrition is:enoughinsufficient What job does the father do? What is the wage in local currency per month? If not available, make an estimation What job does the mother do? What is the wage in local currency per month? If not available, make an estimation Is there any other family income? Welfare or other public support programmesYesNo What kind of subsidy does the family receive? Is there any parental relation or working relation between the family of the child and one of the center’s collaborators?YesNo Which? Description of the family home (construction materials and conditions of the house): Does the family own the house or pay for rent? it's their propertythey are renting it How many people live in the house? How many rooms are in the house? Do they have electricity at home?YesNo Do they have running water at home?YesNo Do they have farm animals at home?YesNo Do they grow a vegetable garden at home?YesNo Does the family own at least one smartphone?YesNo Do they have appliances at home? (TV, refrigerator, washing machine, dish washer, PC, laptop, tablet) IN THE EVENT OF ANY CHANGES IN THE CHILD'S SCHOOL, FAMILY OR HEALTH SITUATION, IT IS MANDATORY TO IMMEDIATELY NOTIFY FAGGIO VALLOMBROSANO ASSOCIATION. I have read and accept the Privacy Policy NEW Subscription .xlsx .docx .pdf Thank you!!! downloadable form back to the tools for centers