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CICL Terminal Report

The document provides a report on an intervention program including basic information about a client, details of the offended party, a summary of the case and offense, details of the intervention program, an assessment of the program results, and recommendations.

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Jeshella Roxas
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548 views1 page

CICL Terminal Report

The document provides a report on an intervention program including basic information about a client, details of the offended party, a summary of the case and offense, details of the intervention program, an assessment of the program results, and recommendations.

Uploaded by

Jeshella Roxas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Intervention Program Terminal Report

October 17, 2022


A. Basic Information :
Name of CICL :
Date of Birth : Age: Sex:
School : Grade/Level:
Address :
Mobile Number :
Offense Committed :

Estimated
Relationship to Educational
Name Age Occupation Monthly
Client Attainment
Income

B. The Offended Party


Name : Age: Sex:
Address :
Mobile Number :

C. Summary of the Case/Offense:


D. Type of Intervention Program
E. Assessment and Final Result of the Intervention Program Implementation
F. Further Recommendations:

Prepared by:

JESHELLA E. ROXAS RSW


MSWDO/OIC

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