{"id":19,"date":"2020-04-07T21:53:25","date_gmt":"2020-04-07T21:53:25","guid":{"rendered":"http:\/\/km4ksr.com\/?page_id=19"},"modified":"2025-02-13T18:02:01","modified_gmt":"2025-02-13T18:02:01","slug":"forms","status":"publish","type":"page","link":"https:\/\/fndbroward.com\/index.php\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"[vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<p><strong><em>FND of Broward Forms<\/em><\/strong><\/p>\n\n<p><strong>\u00a0 1.\u00a0\u00a0\u00a0 To begin the registration process please email\u00a0\u00a0<a href=\"https:\/\/web.archive.org\/web\/20180823162444\/mailto:fndbroward@gmail.com\">fndbroward@gmail.com<\/a>\u00a0with the following information:<\/strong><\/p>\n<p style=\"text-align: left;\"><\/p>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 YOUR NAME<\/strong><\/p>\n\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 STUDENT&#8217;S NAME<\/strong><\/p>\n\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0COMPLETE ADDRESS<\/strong><\/p>\n\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PHONE #\u00a0\u00a0 (HOME\/WORK\/CELL)<\/strong><\/p>\n\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 E-MAIL ADDRESS<\/strong><\/p>\n\n<p><strong>2.\u00a0\u00a0\u00a0 Next PRINT and COMPLETE ALL THE FORMS IN THIS PACKET<\/strong><\/p>\n<p>\u00a0<\/p>\n\n<ul>\n<li>Forms in PDF to be printed, completed, and returned by mail.<\/li>\n<\/ul>\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0NOTE:\u00a0\u00a0 PLEASE PRINT ONLY ONE FORM PER PAGE (SINGLE SIDED)<\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2025\/02\/FND-Complete-Registration-Packet-PDF-February-2025.pdf\">FND Complete Registration Packet<\/a><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_wp_text]\n<h2>Individual Forms<\/h2>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2022\/09\/Agreement-for-Services.pdf\">Agreement for Services<\/a><\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2020\/04\/Consent-October-2016.doc\">Consent Form<\/a><\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2023\/03\/Verification-of-Income-March-2023.pdf\">Verification of Income<\/a><\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2020\/04\/Service-Plan-March-2016.docx\">Service Plan<\/a><\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2025\/02\/Medical-Evaluation-Form-February-2025.pdf\">Medical Evaluation Form<\/a><\/p>\n<p><a href=\"http:\/\/fndbroward.com\/wp-content\/uploads\/2023\/03\/Client-Information-Questionnaire-March-2023-with-Cultural-Influence.pdf\">Client Information Questionnaire<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n[\/vc_wp_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<br \/>\nFND of Broward Forms<\/p>\n<p>\u00a0 1.\u00a0\u00a0\u00a0 To begin the registration process please email\u00a0\u00a0fndbroward@gmail.com\u00a0with the following information:<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 YOUR NAME<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 STUDENT&#8217;S NAME<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0COMPLETE ADDRESS<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PHONE #\u00a0\u00a0 (HOME\/WORK\/CELL)<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 E-MAIL ADDRESS<\/p>\n<p>2.\u00a0\u00a0\u00a0 Next PRINT and COMPLETE ALL THE FORMS IN THIS PACKET<br \/>\n\u00a0<\/p>\n<p>\nForms in PDF to be printed, completed, and returned by mail.<\/p>\n<p>\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0NOTE:\u00a0\u00a0 PLEASE PRINT ONLY ONE FORM PER PAGE (SINGLE SIDED)<br \/>\nFND Complete Registration Packet<br ...\n<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/pages\/19"}],"collection":[{"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":35,"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"predecessor-version":[{"id":202,"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/pages\/19\/revisions\/202"}],"wp:attachment":[{"href":"https:\/\/fndbroward.com\/index.php\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}