Personal Planning Guide - Romero Family Funeral Home And .
Personal Planning GuideFor:My reasons forplanning ahead:
Vital informationGender (Check one) M FPERSONAL INFORMATIONFirst nameMiddleSocial Security numberDate of birthCurrent addressCityPhone numberLastBirthplace (City, County, State)StateDaytime phoneMarital status (Check one) Single MarriedZipEmail address Widowed DivorcedRace/nationalitySpouse’s full maiden nameMarriage datePlaceDate of deathDeceased (Check one) Y NFather’s nameDeceased (Check one) Y NMother’s maiden namePROFESSIONAL HISTORYLifetime occupationPosition held/Job titleIndustryEmployerNumber of years with employerRetired(Check one) Y NEDUCATIONEducation level completedHigh School attendedCityStateYear of graduationCollege attendedCityStateYear of graduationDegree(s) received1
Responsibility to those I loveMILITARY RECORDSVeteran (Check one) Y NBranch of MilitaryRankEnlistment dateDischarge dateService numberDischarge papers enclosed (Check one) Y NCOMMUNITY AFFILIATIONSLodges, memberships & public offices heldChurch (name, denomination, involvement)Awards & certificationsOBITUARY INFORMATIONLocal newspaper name (Funeral Home will notify)Other newspapers (include name of newspaper, city, state)Picture enclosed (Check one) Y N2
Family recordFAMILY INFORMATIONNameAddressPhoneSpouse/loved -GrandchildrenOthers3
Responsibility to those I lovePRECEDED IN DEATHNameRelationshipNameRelationshipLOCAL CONTACTS TO BE NOTIFIED AT THE TIME OF DEATHNameNameAddress AddressCityStateZipPhonePhoneIMPORTANT LEGAL INFORMATION FOR FAMILY USEInsurance (include company name, policy #, type and amount)Safe deposit box atAttorney’s nameExecutor of EstateAddressDo you have a will? (Check one) Y NPhoneLocation of WillAny additional pertinent information4
My Celebration of Life DetailsFUNERAL SERVICE SELECTIONSFuneral HomeLocation/CityService locationService typeOfficiant nameCemeteryLocation/CitySection lotProperty Purchased (Check one) Y NMarker purchased (Check one) Y NCasket/UrnOuter containerMemorial package selectionSPECIAL INSTRUCTIONSMusic selectionsNumberVocalist name and phoneOrganist name and phoneNumberVocalist name and phoneOrganist name and phoneSpecial �s ��s namePhoneFlower requestsPersonal instructionsClothingJewelryGlasses worn (Check one) Y NReligious items5OtherJewelry returned (Check one) Y NGlasses returned (Check one) Y N
Peace of Mind PARTICIPATING ORGANIZATIONS (FRATERNAL/MILITARY)PALL BEARER’S NAMESMEMORIAL CONTRIBUTION DESIGNATIONOrganization nameCity/StateOrganization nameCity/StateADDITIONAL INFORMATIONAuthorizationI,, have given the preceding informationto be filed in the funeral home of my choice, in order to avoid placing all responsibility onfamily and loved ones at the time of my death.Authorized byDate6
Compliments of:Forethought Life Insurance CompanyAdministrative officeOne Forethought CenterBatesville, IN 47006Phone: 1-800-331-8853Email: ask us@forethought.comwww.forethought.comM8299-07Peace of Mind is a registered trademark of Forethought Financial Services, Inc. 2012 Forethought0211
Forethought Life Insurance Company Administrative office One Forethought Center Batesville, IN 47006 Phone: 1-800-331-8853 Email: ask_us@forethought.com www.forethought.com. Title: M8299-07
J.Cooney, and L.De Groote. Blurb.com Romero, D. (2013) The Power of Stories to Build Partnerships and Shape Change. The Journal of Community Engagement and Scholarship (JCES) (6),1,pp. 11-18 Romero, D. (2013) Youth Media: making it in the world! In C. Faltis and S
Scout analytical report Report creation date: 21.10.2017. Maximiliano Romero Vélez Sarsfield Maximiliano Romero is a promising young forward who plays for Vélez Sarsfield. He had also spent his youth years with the club. He first appeared in a match-day sq
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family planning information and services. All of these studies used experimental or quasi-experimental methods. While not every study focused specifically on adolescents and family planning (i.e., some included family planning for adults or primarily addressed HIV prevention), all included some level of attention to adolescent family planning in-
Figure 3. Important Considerations for Family Planning in the PHC Service Delivery Components The government believes that integrating family planning with PHC will increase family planning coverage and improve overall population health. Malawi has made progress in creating and meeting demand for family planning, but it has a long way to
Story – Talk of the Block Family SV, “Kim and the Kids,” pg 9-10 Volunteer’s family pictures (if possible) Family worksheet (see below) Activity Ideas: Family tree: T introduces family by talking about own family and drawing a very simplified family tree on the board using the family vocabulary words (see above). Feel free to bring
Gateway Math & English Completion in 1. st. . FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEU FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FEUD FAMILY FE. National Center for Inquiry & Improvement www.ncii -improve.com Round 1: What Do New Students Ask .
A. Family Office Detailed Background Data B. Family Office Investment Objectives and Asset Management C. Family Office Risk and Return Measurements D. Family Office Governance E. Family Office Documentation F. Family Office Processes G. Family Office Communications H. Family Office Human Resources Practices I. Family Office Education and .
