Mother’s right’s terminated/relinquished? Yes No Father’s right’s terminated/relinquished? Yes No
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Anticipated date of child’s high school graduation
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6155.doc
Questions and Answers Regarding the Request for Proposals (RFP
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Question 1: We are very appreciative of receiving the RFP
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As you are aware, KBTI employs
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Email: Brie.Wilkins@srs.ks.gov
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https://www.dcf.ks.gov/services/RS/Documents/Mentoring RFP/Q_A_RFP_mentoring_10-21-11_ps.docx
State of Kansas Independent Living PPS 7300
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Department for Children and Families Case Determination REV. Oct. 2019
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Prevention and Protection Services Page 1 of 1
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Email Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_7000_Forms/PPS7300.docx
State of Kansas Aftercare Contact Agreement for Young Adults PPS 3070A
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Department for Children and Families (For Cases Where Young Adult is not in the Custody of the Secretary
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3070A.docx
If you are a mandated reporter and have the
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Contact Information:
Reporter telephone number and Email Address (You will receive an Email confirmation message that you can print and
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https://www.dcf.ks.gov/services/PPS/Pages/OnlineReportingInformation.aspx
Provider: Assigned Provider Staff: Phone: Email: Date Aftercare started: Agreement in
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Frequency and method of contacts between case manager and child/family
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3070.doc
Attention Referral Agency: The Kansas Department for Children and Families (DCF) is providing this referral in accordance with K.S.A. 38 2290
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Per K.S.A. 38-2290, upon DCF's receipt
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EMAIL
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2014_B.docx
State of Kansas
Department for Children and Families Prevention and Protection Services
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Preferred Name to be addressed by
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Contact Information (name/email/phone/address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3006.docx
Individuals Determined to Have Achieved an Employment Outcome
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The provision of services under the individual's IPE has contributed to the achievement of the employment outcome
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https://www.dcf.ks.gov/services/RS/Documents/Policy/SEC_5-1.docx
Consumer’s work skills, conditions, preferences and interest
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(Recommend other pertinent consumer information be shared with the provider to assist
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Provider Contact Name: Phone: Email
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Contracts/Section 11 Part-24_Service_referral_form.doc