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Date: __13/08/2018 ____ Mission 10:10 Foundation Child Profile / Case Study Child ID:__ETM10:10022_ __ Sex: Male Female 1. Child Name __ Aman Mola _____ Birth Date : __ 12/03/2013 2. Religion ____Orthodox________ _ 3. Health Condition of the child Very good Good Bad 3.1 Does the Child have chronic disease or allergy? Yes No If the answer is yes mention the type of disease: _____________________________________ _________________________________________________________________ _____________ 3.2 Is the child Disable? Yes No If the answer is yes mention it: ___________________________________________________ 4. Is the child attend school? Y es No 4.1 If the answer is yes, what grade is he? ____KG 1_______ 4.2 What is his education status? Excellent Very Good Good Bad 4.3 What is his favorite subject and hobby? ____English & Soccer __________ 5. Family Information: 5.1 Father Name : _____Mola Mekbib 5.2 Mother Name: _____Woyinishet Yishaw ______
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 · Web viewChild Name __ Aman Mola _____ Birth Date : __ 12/03/2013 Religion ____Orthodox_____ Health Condition of the child Very good Good Bad 3.1 Does the Child have chronic disease

Mar 16, 2019

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Page 1:  · Web viewChild Name __ Aman Mola _____ Birth Date : __ 12/03/2013 Religion ____Orthodox_____ Health Condition of the child Very good Good Bad 3.1 Does the Child have chronic disease

Date: __13/08/2018____

Mission 10:10 FoundationChild Profile / Case Study

Child ID:__ETM10:10022___ Sex: Male Female

1. Child Name __ Aman Mola _____ Birth Date : __ 12/03/20132. Religion ____Orthodox_________3. Health Condition of the child Very good Good Bad

3.1 Does the Child have chronic disease or allergy? Yes No If the answer is yes mention the type of disease: _____________________________________ ______________________________________________________________________________3.2 Is the child Disable? Yes No If the answer is yes mention it: ___________________________________________________

4. Is the child attend school? Y es No4.1If the answer is yes, what grade is he? ____KG 1_______4.2What is his education status? Excellent Very Good Good

Bad 4.3What is his favorite subject and hobby? ____English & Soccer__________

5. Family Information: 5.1Father Name : _____Mola Mekbib 5.2Mother Name: _____Woyinishet Yishaw ______5.3Family number: How many brothers and sisters has the child? ____two

sisters and _ __no__ brothers. 5.4Father Occupation : ___________ Mother :Day Worker __5.5Marital Status : married Divorced Widowed un married

6. Child current condition : The child is in good condition. the mother is taking care of the whole family. She has no regular income. She is doing local laundry and baking Ingira to get money when she gets. they pay house rent.

7. With whom the child is living now? __With his mother______Father/ Guardian Name: _______ ___________________________Mother /guardian Name : __________________________________

8. The case study is filled by:______________Fekadu Shenkute_______

Page 2:  · Web viewChild Name __ Aman Mola _____ Birth Date : __ 12/03/2013 Religion ____Orthodox_____ Health Condition of the child Very good Good Bad 3.1 Does the Child have chronic disease