ࡱ> ]`\} @ #nbjbj dI$ lllllllh$h$h$8EmLm;h$$$$$%%%8R;R;R;R;R;R;$9=R?v;lx&%%x&x&v;ll$$;.).).)x&(l$l$8.)x&8.).)r4Tll5$-n jUh$&44,6t;0;5i@&Di@5lllli@l5%"%.)%%%%%v;v;$D)$ Another Planned Permanent Living Arrangement Agreement(Temporary Court Wards)Another Planned Permanent Living Arrangement (APPLA) is a plan for a stable, secure living arrangement, developed for a youth that includes relationships with significant adults in their life that will continue beyond foster care. Planned means the arrangement is intended and designed. Permanent means enduring, lasting, or stable. Living arrangement includes not only the physical placement of the child, but also the quality of care, supervision and nurturing that the child will be provided by a specified adult or adults. AGREEMENT The persons involved in this agreement believe that it is in the best interest of the youth to be allowed to remain in the home of the foster parents with all of the supports, privileges and responsibilities that being a member of this family brings. This agreement is being established as a statement of our mutual commitment to a permanent relationship. Although the foster care placement in this home will end when the foster care case closes, it is the relative(s) intent to continue a caring relationship into the youths adulthood. By signing this agreement, the foster parent(s) agree: To maintain the responsibilities of a foster parent(s) for the youth until adulthood. To request support and services from the assigned foster care agency if there are situations that cause concern or conflicts that require assistance. To only terminate this agreement after all possible solutions are tried or under serious or unusual circumstances. To facilitate visitation with the birth parents, siblings and members of the extended birth family based on the discussion between the caseworker and all parties involved. To share information as required by the agency and as determined appropriate with the birth family. To ensure that the youth is enrolled in and attending school on a full-time basis. To facilitate health and dental care as required. By signing this agreement, the caseworker and assigned foster care agency agree: To maintain and support the long-term placement of the youth in the foster parent(s) home. To respond to requests for services and supports to ensure positive family relationships and stability with the home. To develop the 90-day Transitional Plan for Youth aging out of foster care to ensure that transitioning youth services are in place.To not disrupt this placement except under serious or unusual circumstances and only through an administrative level decision. To ensure that the agreed upon visitation and sharing of information is provided to the birth parents and siblings. To facilitate between all parties to arrange appropriate scheduling and required transportation for visitation. To respond to requests for facilitation if an issue arises between the parties. By signing this agreement, the youth agrees: To remain in the home of the foster parent (s) with all of the supports, privileges and responsibilities that being a member of this family brings. To ask the foster care worker for support and advice in dealing with issues that arise. By signing this agreement, the birth parent(s) agrees: That the child shall remain in the home of the foster parent(s) until adulthood. To keep the agency, the foster parent(s) and our child advised of how to contact us and keep the schedule of visitation as decided.* SIGNED:Youth Signature(Date)Foster Parent(s) Signature(Date)Birth Parent(s) Signature or DHS Local Office Director (If parents dont sign.)(Date)Agency Caseworker Signature(Date)Foster Care Supervisor Signature(Date)*Parental agreement is preferred but not mandatory.Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. 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CoStat$c b CoZip  "Supervi8sor<`, Boss! /Titl% b ' Upd. other  FieldsH on& t Macro Rem" SelA}ed$=G$ ("Curre8ntD9'`Serial = Today() + 14$5()lDure",a"GEditGoTo 0"Cre : Unlink'Grante@efirst3"ToolsProtDocum! .No@et`1, .Type@2/ .8= 2 `0 Else#FileClose D c.@- 1$nd #Sub ME(<<< <h ~ X``%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it.GR ! cladd87 B@ilekPerform Spelling/Grammar check.X (ats(  !_Fo !(. !B@  ReProtect the document. ! cladd87 l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAe55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2as  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#_VBA_PROJECT:PROJECTyPROJECTwmVCompObjj8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{5926339E-587D-441B-9117-6D844445226A}#2.0#0#C:\TEMP\VBE\MSForms.EXD#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library  AB?5ThisDocument054b3e2157ThisDocument5% MyInfo064b3e2157 MyInfouM'Module1074b3e2168|Module1[0bP0yZgLt hYqUjhYqUjhYq5UmHnHujhYq5U hYq5jhYq5UhYqjhYqUjRhYqU*&O(O*O>O@ONOPOROfOhOvOxOzOOOOOOOOOOOOOOOOPXXX XXXXX.X0X>X@XBXVXXXfXhXjX~XXXXjt hYqUjhYqUj8hYqUjhYqUmHnHujxhYqUUjhYqUjhYqUj.hYqUjehYqUjhYqUjhYqUhYq2XT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       XXXXXXXXXXXXXXYYYYY(Y*Y,Y@YBYDYHYJYLYNYbYdYfYlYnYpYrYYYYYYYYYYYYYYYYYj;&hYqUj%hYqUj$hYqUj$hYqUjhYqUmHnHujg#hYqUj"hYqUj`"hYqUj!hYqUj!hYqUhYqjhYqU3pYYYY Z,ZPZxZZZZ[@[B[jihgfedcba`_ YZZZZ Z Z Z"Z$Z(Z*Z,Z.ZBZDZFZLZNZPZRZfZhZvZxZzZZZZZZZZZZZZZZZZZZ[[[[[.[0[2[<[ڹڮڣژڍڂj+hYqUj<+hYqUj`*hYqUj)hYqUjl)hYqUj(hYqUj (hYqUj`'hYqUhYqjhYqUmHnHujhYqUj&hYqU3<[>[B[hYqjhYqU/ =!"#$% ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. 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SuperAreaCode"SuperExtension#SuperPhoneNumber$SupervisorName%Unit&Worker'WorkerAreaCode(WorkerExtension) WorkerFax* WorkerName+ WorkerName2, WorkerPhone- WorkerTitle.0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName1GranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitleUser Input 10pt(<Pdu$5I]n  4EYm(<PdxcVL6N&OXY<[B[ (*+.01U kpNZuy&*VGMpYB[ !)/B[  &(4:<HNP\bdpsu"$035AGIU[]ilnz   ,24@CEQWYekmy"&(4:<HNP\bdpvxFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipdate1DistrictEmailFaxAC FirstName FirstName2GranteeAddress1 GranteeCareOf GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitle)=Qev%6J^o !5FZn)=Qey  !"#$%&'()*+,-./';Oct#4H\m 3DXl';OcwYq@`'(`L`N`XUnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma;Wingdings"h0@?Yq