SERVICE AREA/LOCATION (FIELD OFFICE/STATE)
PROGRAM/SERVICE RECEIVED/TIME FRAME
• What problem or obstacle did this person face? Be as descriptive as possible. Details bring the story to life. • Describe their family situation (how many children/ages, family dynamic, housing situation, details of their everyday life). • What was it like meeting the customer for the first time?
• What were they like when they first inquired about this program? Why did they seek us out/how did they come to us?

How did the client feel when they took the first steps to access this program?
• What problem did this program or service help your customer to solve?
• What kind of support was provided, and by who/m and for how long? Who provided the services, the support? (Provide pertinent details to summarize the services received.)
• What is that customer’s life like now? What is the next step in his/her life plan? If you have any direct QUOTES — things customer has said/shared — please provide.

NAME/TITLE OF PERSON COMPLETING THIS EMAIL BEST TIME TO CONTACT YOU
PHONE
DO YOU HAVE PHOTOGRAPHS OF THIS CUSTOMER? (And a Media Release on file?)
DATE THIS FORM COMPLETED Please answer the question a little be of the client background client was really depress after she lost her son her jobs with hope- this stories is about one client who was facing foreclosure on her home. On of her kids pass away she will love to keep the property as a memory where hi lives. the resolution of the problems was she was able to revived a loan modification. loan was 56 thousand delinquent. start working on 201 3 husband self-employment not making enough income. She was working but only minimum wage unstable job. Now she is more income and can afford her payment.

 

 

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