Get Youth Intake Form - Arclincoln.org

Completing the youth intake form is an important step in ensuring that young individuals receive the appropriate support and resources for their recreational activities. This guide will walk you through each section of the form, providing clear instructions to make the process easy and straightforward.

Follow the steps to complete the form efficiently

1. Press the ‘Get Form’ button to obtain the form and open it in your editing tool.
2. Begin by entering the last name, first name, and middle initial of the youth. Ensure spelling is accurate to avoid any confusion.
3. Fill in the address, city, state, zip code, and date of birth. Double-check for accuracy in these fields since they are essential for identification.
4. Provide a phone number where the youth can be reached, along with email and emergency contact details, including their phone number.
5. Indicate who is completing the form and the date of completion.
6. Identify in what recreational activity the youth needs assistance, along with the start and end date of the activity.
7. Specify the days of the week and the time when the activity takes place.
8. Answer whether the youth requires assistance or support for physical or behavioral challenges. If yes, provide a description.
9. Confirm if the youth has an aide or personal assistant available during the activity and if they can accompany them.
10. Note whether the youth uses assistive devices for mobility, eating, or communication, and provide details as needed.
11. Indicate if the youth has any known allergies or takes medications that may impact activity participation, including necessary descriptions.
12. List interests, strengths, and any positive characteristics of the youth to provide a holistic view.
13. Complete the safety assessment questions regarding the youth's ability to participate in group activities responsibly.
14. Identify what motivates the youth, checking all applicable items from the list provided.
15. Clarify the youth’s ability to communicate their needs and describe their preferred method of communication.
16. Check any relevant diagnoses that apply to the youth and list any treatments or procedures that may be necessary.
17. Agree or disagree to be interviewed for program evaluation purposes.
18. Provide any additional information or questions you may have before submitting the form.
19. Review the completed form for accuracy and save any changes. Finally, download, print, or share the form as required.

Start filling out your youth intake form online today to ensure timely support and services!