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Kurn Hattin Homes for Children

Kurn Hattin Homes for Children

a charitable, year-round, residential home and school transforming lives.

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Application Materials

Thank you for your interest in Kurn Hattin Homes. We welcome your application for admission of your child. When all of the information listed below has been received, the decision will be made whether or not to go to the next step of the application process and schedule an interview. A complete application consists of:

Birth CertificatePlease provide a copy of your child’s birth certificate
Application for AdmissionPlease fill this out as completely as possible.
Release of Student InformationFill this out and send to us. We will fax to your child’s school for a copy of their records.
Green Teacher’s Report FormContact the Admissions office at (802) 721-6913 or email Terry Andrews to receive a copy of this form. Take this to your child’s school. The classroom teacher should fill it out and send it to Kurn Hattin.
Blue Child Behavior ChecklistPlease contact the Admissions office at (802) 721-6913 or email Terry Andrews to receive a copy of this form. Please fill this out yourself.
Court Order ReleasePlease fill this out and take it to the courthouse that handled your proceedings.
Health FormPlease fill out this two page form yourself and send it to us.
Report of Health EvaluationTake the single page to your child’s doctor, who will fill it out and return it to us.
Release of Student InformationFor your child’s most recent counselor, therapist or psychologist. Take this form to their office so that they may send us an assessment or summary. You may also send this form to forward to the therapist.
A Focus on YouYour child should fill this out. If they can’t do it by themselves, you may write down their answers.

I would be happy to assist you in completing this application and gathering the information required. Please call (802) 721-6913 or email me at tandrews@kurnhattin.org with any questions. I look forward to hearing from you.

Sincerely,
Terry Andrews,
Admissions Coordinator

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