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Games and Team Building Activities Getting to Know you Better/ Exploring Interests Affirmation circle: All those in the group form a circle. A leader will throw out
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What You Need to Know Before You Sell Your Home Before you sell your home, there are some basic things you should think about: is the house ready
Alfa Laval Pump Handbook 1 Inside view This pump handbook has been produced to support pump users at all levels, providing an invaluable reference tool
Would You Know What to Do? Emergencies can happen anywhere, anytime. In an aquatic emergency, every second counts. Survival depends on quick rescue and immediate care
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RESPIRATION What You Need to Know Respiratory substrates and Respiratory Quotient (RQ) The use of different respiratory substrates and the determination, calculation and
What’s inside Introduction 1 About your benefits 1 Other benefits you may be able to get 7 What you must report to us 8 Benefits for children 16
Do You Know? Many Electric Companies Offer . Energy Efficiency Programs and Rebates . The General Assembly charged the Pennsylvania Public Utility Commission (PUC) with
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2 This guide details the New York State regulations schools must follow during renovation and construction to protect children and adults from hazards
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Getting to Know You
Instructions: Complete for new people coming into your community.
Name: __________________________________________ Last
What do you prefer to be called? ______________________________ Move-in date: ___/___/___
Sex: M F
Birth Date: ____/____/____
Where did you move here from? _____________ How long did you live there? ________
Is there someone you would like us to contact or send information to regarding activity programs? Yes No Contact Person: Name: __________________________ Relationship: ____________ Phone #: (H) ______________ Address: _________________________________________________ (W)______________ E-mail: __________________________________________________ Marital status: M D W S If married, spouse’s name: _________________ and Anniversary Date: _______ How many children do you have? ___________ Do you have any grandchildren / great grandchildren? _____ /_____ Do you have family/friends in the area? _____________________________________________________ Do you know someone who lives here? Who? ________________________________________________ Where were you born? _________________________________ Language(s) spoken: ________________________ Where have you lived/traveled? ________________________________________________________________ Where did you go to school/college? __________________ Former/present occupation(s): ______________________ Were you ever in the military? Yes No Branch of Service: ______________________ Dates: _____________ Would you like to share your religious affiliation? _____________________ Attend regularly? Yes No If yes, would you like us to contact? Yes No Contact person and phone # _________________________________________ Can we help you with voting? Yes No If yes, prefer to vote: Absentee Go to the polls Do you need assistance with change of address or registering to vote? Yes No Belong to any clubs/organizations? (past or present) Officer? ______________________________________ Involved in volunteer work? (past or present) _________________________________________________ Do you enjoy pets? Have a pet? What kind? Name? ____________________________________________ Do you still drive? Have a car? __________________________________________________________ What kinds of things do you enjoy doing? Any hobbies, talents, or special interests? Are there things you did in the past you might like to try again? Is there something you have always wanted to do or might like to try? (Ask in particular about specific programs you have going on in your community.) _________________________________________
________________________________________________________________________________ ________________________________________________________________________________ How do you like to spend your day? (What kinds of things do you usually do in the morning, afternoon, evening?)
________________________________________________________________________________ ________________________________________________________________________________ Can we offer you any special assistance or adaptive equipment? (i.e., large print books, etc.) __________________
________________________________________________________________________________ Anything additional you would like to share with us, either about yourself or about your family? _________________
