Organisations name Client’s full name I Address Contact to Client # Telephone Tenant’s goals Actions to achieve this Involved service Review Date outcome providers/department date outcome program/initiative achieved Outline the issue/s that is/are placing Keep the house tidy and cook Mentoring/skills development. Support for High Risk the tenancy at risk, separate the issue/s healthy meals Apply for brokerage to engage Tenancies Program out to develop actions to resolve them Household Services Inc. to assist (brokerage) for example: the tenant with cleaning their Household Services Inc. Poor living skills resulting in squalor and house and remove rubbish, health issues within the family provide mentoring skills development in household management and cooking work with to achieve the above outcomes. Tenant’s signature Date: _________________________________ (Insert agency name) Manager endorsement of the plan ‘s Managers name (please print) Manager’s signature Date: _______________________________________ This page left intentionally blank
Client’s full name Organisations name Address Contact Client # Telephone Tenant’s goals Actions to achieve this outcome Involved service providers/department program/initiative Review date Date outcome achieved Outline the issue/s that is/are placing the tenancy at risk, separate the issue/s out to develop actions to resolve them for example: Poor living skills resulting in squalor and health issues within the family Keep the house tidy and cook healthy meals Mentoring/skills development. Apply for brokerage to engage Household Services Inc. to assist the tenant with cleaning their house and remove rubbish, provide mentoring skills development in household management and cooking Support for High Risk Tenancies Program (brokerage) Household Services Inc. I to work with to achieve the above outcomes. Tenant’s signature Date: _________________________________ (Insert agency name) Manager ‘s endorsement of the plan Managers name (please print) Manager’s signature Date: _______________________________________ This page left intentionally blank