Forms

The forms on this page are for the use of ExCEL After School Programs.  For information on how to complete the forms, please refer to the
Implementation Manual.  

• Budget and Contract Materials
• End of Year Documents
• Evaluation Tools and Monthly Activity Log
• Family Literacy Documents
• Health and Emergency
• Lead Teacher Documents
• Sample Enrollment Documents
• Snack and Attendance Documents

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Budget and Contract Materials
For instructions on how to use and complete the listed budget documents, please refer to Section B of the 2009-2010 After School Programs Implementation Manual.

2009-2010 School Agency Assurances (Word document)
Blank ASP Expenditure Request Form (Word document)
Blank Consultant Invoice (Word document)
Certificated Stipends Spreadsheet (Word document)
Classified Payroll Timesheet (Word document)
Consultant Contract Form (Word document)
Daily Time Report – Certificated (Word document)
Daily Time Report – Classified (Word document)
Extended Hour Green Sheet (Word document)
Extended Hours Tracking Sheet (Excel document)
General Requisition (Excel Spreadsheet)
Itemized Budget Spreadsheet (Excel Spreadsheet)
Oath of Confidentiality Agreement Form Template (Word document)
Request for Reimbursement Receipts (Word document)
Requisition for Purchase Order (pdf)
RPF (Word document)
Site Agreement Template (Word document)
SRPA (pdf)
FY 2009-2010 Budget Set-up Form for Grants (elementary) (Excel Spreadsheet)
FY 2009-2010 Budget Set-up Form for Grants (secondary) (Excel Spreadsheet)

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End of Year Documents

Carryover Site Agreement (Word document)
Carryover Consultant Contract Request Form (Word document)
Coordinator Year-End Checklist (Word document)
End of the Year SC Survey (Word document)
End of the Year Inventory (Word document)
CBO Partner: Program Itemized Budget (Excel Spreadsheet)
2008 Successful Service Providers List (Excel Spreadsheet)

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Evaluation Tools and Monthly Activity Log
Program evaluations allow for better understanding to serve students needs.  Read the sample surveys below and customize them so that they are most meaningful for your school. 

Monthly Monitoring Log (Link)
Student Evaluation Template (Word document)
Staff Self-Evaluation Template (Word document)
Staff Program Evaluation Template (Word document)
Evaluation Instructions Template (Word document)

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Family Literacy Documents

Dates To Remember (Word document)
Event Check List (Word document)
Frequently Asked Questions (FAQ) (Word document)
Overview (Word document)
Workplan (Word document)

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Health and Emergency
In partnership with the SFUSD Emergency Planning Department, SSSD ExCEL supports aligning After School Program Emergency Requirements with SFUSD procedures. 

For more information on Emergency Requirements and Procedures, see section C of the SSSD ExCEL After School Programs Implementation Manual and the Crisis Response Manual.

All Hours Emergency Response List (Word document)
Allergy Care Plan Form (Word document)
Asthma Care Plan Form (Word document)
Child Abuse Reporting Agreement (Word document)
Diabetic Care Plan Form (Word document)
Emergency Phone Numbers (Word document)
Guidelines for School First Aid Procedures (pdf)
Medication Form (Word document)
Seizure Care Plan Form (Word document)
SFUSD Incident Report (Word document)
SFUSD Student Injury Report (pdf)
Staff Emergency Card (Word document)
Student Emergency Card (Word document)

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Lead Teacher Documents

APPLICATIONS
2009-2010 Elementary Lead Teacher Job Description and Application (Word document)
2009-2010 MS Lead Teacher Job Description and Application (Word document)
2009-2010 HS Lead Teacher Job Description and Application (Word document)

DocumentS - Elementary Lead Teachers
Fall 2009 Direct Service Log (Word document)
Spring 2010 Direct Service Log (Word document)
Document Submission Timline (Word document)
Semester Report (Word document)
Monthly Meeting Notes Template (Word document)
Observation Report (Word document)
Payment Structure Log - Fall (Word document)
Payment Structure Log - Spring (Word document)
Statregic After School Action Plan Directions (Word document)
Strategic After School Action Plan Form (Word document)
Strategic After School Action Plan End of Year Accomplishments (Word document)
Quality Self Assessment (QSA) Tool (Word document)

DocumentS - Middle School Lead Teachers
Middle School Lead Teacher Program Overview (Word document)
Fall Activity Stipend Log (Word document)
Spring Activity Stipend Log (Word document)
Fall Semester Observation Report (Word document)
Spring Semester Observation Report (Word document)
Statregic After School Action Plan Directions (Word document)
Strategic After School Action Plan Form (Word document)
Strategic After School Action Plan End of Year Accomplishments (Word document)
Quality Self Assessment (QSA) Tool (Word document)
Student Support Worksheet (Excel file)

DocumentS - High School Lead Teachers
High School Lead Teacher Program Overview (Word document)
Fall Activity Stipend Log (Word document)
Spring Activity Stipend Log (Word document)
Homework Completion Student Support Worksheet (Excel file)
CAHSEE Student Support Worksheet (Excel file)
Academic Case Management Student Support Worksheet (Excel file)
Statregic After School Action Plan Directions (Word document)
Strategic After School Action Plan Form (Word document)
Strategic After School Action Plan End of Year Accomplishments (Word document)
Quality Self Assessment (QSA) Tool (Word document)

Cyber High Documents
Getting Started With Cyber High (pdf)
Cyber High Curriculum Course List (pdf)
The Cyber High Teacher (pdf)
Cyber High Supplemental Books List (pdf)

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Snack and attendance Documents

Student Sign-in/Sign-out Sheet Sample  (Word file)
ASP Number Sheet (Excel file)
2010 Attendance and MPW Spreadsheet (Excel file)
Snack by Room Meal Count Summary (Excel file)
Snack FAQ (Word document)
ExCEL ASP Snack Application 2009 (Word file)
ASP Summary of Responsiblilty 2008 (Word file)
Suggested Items from Costco (pdf. file)

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Sample Enrollment Documents

Early Release Template (Word document)
Late Pick-up Policy Template (Word document)
Media Access Form (Word document)
Youth Agreements Template (Word document)
FRESH Contract (Word document)
Sample Registration Form (Word document)