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KEEPING MAINE’S CHILDREN CONNECTED

An Integrated Approach to Help Children and Youth Who Experience School Disruption Due to Homelessness, Foster Care Placement, Correctional Facility Placement, In-Patient Psychiatric Care

 

 

LIAISON INFORMATION SHEET

 

Please complete the following information on the individual appointed to serve as Liaison for the Keeping Maine’s Children Connected initiative.

 

Agency/Facility/School Administrative Unit____________________________________

 

Geographic area covered (counties/towns)______________________________________

 

Name of Liaison__________________________________________________________

 

Title____________________________________________________________________

 

Mailing Address__________________________________________________________

                          ___________________________________________________________

                          ___________________________________________________________

 

E-Mail Address __________________________________________________________

 

Telephone Number________________________________________________________

 

Cell Phone (if preferred means of contact)______________________________________

 

 

Please return this form no later than June 30, 2004, to:

Christine Bartlett

Maine Department of Education

#23 SHS

Augusta, Maine 04333