About the Program
Strengthening Families is an evidence based, nationally recognized family life skill training program that promotes positive
parent-child relationships. A few core goals of the program are to:
• Decrease risky adolescent behavior
• Decrease family conflict
• Equip youth with the skills to resist peer pressure
• Promote pro social peer relationships
• Increase parent’s ability to show love and set limits
Join us!
Strengthening Families is a free service that serves the entire Iredell County community. Our 10-14 year old children and
parents meet one night a week for 7 weeks from 6:00 pm until 8:00 pm. Our 3-5, 6-11 and 12-16 year old children and
parents meet one night a week for 14 weeks from 6:00 until 8:00 pm. Each group is provided with child care at each
session, free transportation assistance, free meals, and a $50.00 gift card to each family that completes the program.
What this program does
• Builds on family strengths
• Encourages appreciation for one another
• Improves your relationship with your children
• Decreases the likelihood of family conflict and risky adolescent behaviors
We extend a warm invitation to service providers, teachers, parents, and others to sit in on one of our sessions to
experience why our Strengthening Families Program is making a difference for families in the Iredell County community.
Come enjoy a hot meal, warm laughter and learn why parents and youth who completed the program speak highly about
the program’s effectiveness in bringing families closer together.
What are the sessions like?
During the first hour, parents and youth meet separately with their group leaders.
• Parents watch videotapes of typical family situations. Group Leaders will guide discussion about improving how parents
and children interact in these types of situations.
• Children will participate in games and activities that teach them how to get along with their peers and parents.
During the second hour, parents and youth meet together as a family.
• Participating in activities and projects that build communication skills and help you solve problems together and bond as
a family.
• You also learn how to hold regular family meetings and work together to help your children deal with peer pressure.
TWO PROGRAMS AVAILABLE
7 week program for ages 10-14 14 week program for ages 3-5, 6-11, and 12-16
“You learn to show love while setting limits at the same time. This program works, it really works,” states parent in
program.
Participant Application
Application Date: ______/______/_____
Are you interested in greatly improving your family’s quality of life? Are you a parent with children ages 10-14 years old living at home? Do you
have 2-3 hours a week to spend with your children? Then you are eligible for the Strengthening Families Program and there is no charge to you or
your family!
Parent/Caregiver Information:
1st Parent:
Name: _______________________________________________________________________
Address: ____________________________________________________________________
City, State: _____________________________________
Home Phone: (
)_________________Alternate Phone: (
Zip code: _____________________
) __________________
Birth Date: _____/______/____Martial Status; _________________ Email:_________________________________
2nd Parent:
Name: ______________________________________________________________________
Address: ___________________________________________________________________
City, State: _______________________________________________ Zip code:
Home Phone: (
)_________________________Alternate Phone: (
Birth Date: _____/______/______
Martial Status:
___________
) _________________________
__________________
Reason for referral:_______________________________________________________________
Other Risk Factors: Aggressive Behavior  Noncompliant Behavior  Juvenile Justice Involvement 
Alcohol/Drug Use  Problems In School  Poor Child/Parent Relationship  
Child(ren) Information:
Resides with:
Child 1: ______________________________ Age: ____ M__ F____ Parent 1 __ Parent 2 __
Food Allergies
______________
Child 2: _______________________________Age: ____ M__ F____ Parent 1 __ Parent 2 __ _______________
Child 3: _______________________________Age: ____ M__ F____ Parent 1 __ Parent 2 __ _______________
Child 4: _______________________________Age: ____ M__ F____ Parent 1 __Parent 2 __ ________________
Additional Information
Is transportation needed to attend program? _____
Yes
______ No
Is childcare needed to attend program? _____ Yes
______ No
Are any children on medication?
_____ Yes
______ No
If yes, name of child(ren) ____________________________________________
List of current medications being taken by child(ren): ____________________________
_________________________________________________________________
Referred by:_____________________________________ Phone: _____________________
Email: ________________________________
Return completed application to: Jeff Shipman, Strengthening Families Site-Coordinator
PO Box 1
Barium Springs NC 28010 OR Fax: 704-872-7749