Teen / Family Contact Form
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Contact Report
Staff
Last Name
Teen Name
Last Name
Date
Type of Contact
Home Visit
School Visit
Phone Call
Event
E-mail
Other
SYNOPSIS: Otter Prompt: Synopsis (Sponsor & Prayer Partner Friendly) Write 3–5 sentences Tone: encouraging, general, and appropriate for public sharing Do NOT include sensitive, specific, or concerning details Focus on: Overall direction (positive, steady, or challenging season) Engagement level General growth areas or needs
PRAYER REQUEST
REPORT BODY: Otter Prompt- “Write in concise, clearly separated topical paragraphs. Each paragraph should focus on a single area: Emotional state and overall presentation Key struggles, stressors, or challenges discussed Behavioral observations (engagement, motivation, attitude) Family, school, or peer updates (if relevant) Spiritual engagement: Scripture discussed Response to spiritual conversation Openness/resistance Progress or setbacks since last visit Mentor interventions: Guidance given Scripture application Coaching or redirection Any concerns, patterns, or notable behaviors Tone Requirements: Neutral, observational, and professional No diagnosing or speculation Base statements on what was said or observed using 2–4 sentences per paragraph. Do not combine all content into one continuous block.”
CONCLUSION / FOLLOW UP: Otter Prompt- 4. Risk & Follow-Up Level (Internal Only) Determine and include: Risk Level: Low / Moderate / Elevated Follow-Up Action: Low → Continue regular mentorship Moderate → Monitor and increase check-ins / notify supervisor if needed Elevated → Immediate staff awareness and follow-up required Reason (1–2 sentences): Briefly explain what informed this level (behavior, statements, environment, etc.)
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