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Show B. Who did the child live with when he was sent to SISo foster home, uncLe, aunt, et o s) 1. Specify i (own home, . 2 Hew Who 3. II many- were i.rlthis was in the specify ------ home? , home; parents.9 siblings, g":a.nctparents, " • . ..... 4. Ordinal p·-o-sJ.·ti'-o-n-;,:-:'i-c-e-Q i¥7'l"!J=---C-J,t'-b-----5. Number of brother;a --,-_.._- .. ----, 6. Number of sisters" 7. Number of -----: stepbrdthers------ 8. NUmber of stepsis,ters ----- • • .9 Age of youngest siblings • ........ 10. Age of oldest sibling -. 11. Age of parents; mother' • , father Education of parents and siblings.. 1. Father's grade attainment • 2. Mother's grade attainment • 3 Greatest grade attainment of any 'member in immediate family • Veteran status of members of family. (indicate parents, siblingS;-- -- C. D. ------ subjeot, step-parents J, etc,,) 1, WW I ._--_. ------. 2. WVl II -----• 3• Korean War ----------------------. 4 Peacetime, p s. Present Military-et:2.tus-o-f-a-h-y-m"',Antisocial behavior (specify and describe conflict that any member of the family has had with established law and order) 1. Past • 2. Present Employment or source of income of parents. (specify length of time ,on the job and vocational status of the employee using the USES cata . -..---- .. ,---------- ------------ e· E. F. e-m-b-e-r-_---_----------o goriesj a) professiona13 b) clerical.,.sales, c) service, d) skilled, e) semiskilled, f) unskilled, g) agricultural.) 1. Father • ---------------------------------------------------- 0 2. Mother ----------------------------------, 3. Other source of income ------------------------------------- Home and neighborhood, . 1. 2. 3. ( ) parent ownership or purchasing. ( ) rented. ( ) trailer type home. ' long have parents or surrogates lived at present address1___. How many times has you):' family moved that you can remember? • Did you know your neighbors? .' • 7. Did you like all of them? , none , some , trusted you_? 8 Do you think they like you? 9. Were they mostly the same race? • 10. Did you know a:ly SIS parolees where you lived? 0 11. Could other ch.l.Ldr-en play out as often as you?_ 4. 5. 6. How - ' __ ::::.-- • 120 Was yours the best home in the neighborhood?_ 13. Were ,there other children in yor neighborhood in tr0uble with the Juvenile Court? • 14. Are your parents lo"3Bng tor a better place t-o live? , |
