Forms

The forms on this page are for the use of SHPD ExCEL After School Programs.  For information on how to complete the forms, please see the SHPD ExCEL Start-up Guide (pdf).  

• Budget and Contract Materials
• End of Year Documents
• Evaluation Tools
• ExCEL Scholars Tutoring Program Documents
• Health and Emergency
• Lead Teacher Documents
• Sample Enrollment Documents
• Snack Documents

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Budget and Contract Materials
For instructions on how to use and complete the listed budget documents, please refer to the ExCEL After School Programs Start-up Guide, Section C (pdf). 

Blank ASP Expenditure Request Form (Word document)
Blank Consultant Invoice (Word document)
Certificated Stipends Spreadsheet (Word document)
Classified Payroll Timesheet (Word document)
Consultant Contract Request Form (Word document)
Daily Time Report – Certificated (Word document)
Daily Time Report – Classified (Word document)
Expenditure Request Form (Word document)
Extended Hour Green Sheet (Word document)
Extended Hours Tracking Sheet (Excel document)
General Requisition (Excel Spreadsheet)
Oath of Confidentiality Agreement Form Template (Word document)
Requisition for Purchase Order (pdf)
RPF (Word document)
Site Agreement Template (Word document)
SRPA (pdf)

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End of Year Documents

Carryover Site Agreement (Word document)
Budget Set Up Form (Excel Spreadsheet)
Carryover Consultant Contract Request Form (Word document)
Coordinator Year-End Checklist Spring08 (Word document)
Inventory Form 08 (Word document)

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Evaluation Tools
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. 

Monitoring Tool: Site Monthly Activity Log (Word document)
Monitoring Tool: Site Profile (Word document)
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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ExCEL Scholars Tutoring Program Documents
The ExCEL Scholars Tutoring Program will work at targeted school sites to provide intense tutoring in Math and Language Arts for selected students.

ExCEL Tutoring Attendance Log (.xls)
Student Intake Form – LIP & MIP (Word document)
Parent Notification Letter (English) (Spanish) (Word document)
Student Assessment Log (Word document)

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

For more information on Emergency Requirements and Procedures, see the SHPD ExCEL After School Programs Start Up Guide, Section D 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

After School Programs Intervention Academic Plan (Word document)
2007-08 Lead Teacher Job Description (Word document)
2007-08 Payment Structure Log (Word document)
Lead Teacher Monthly Observations (Word document)
Lead Teacher Semester Report (Word document)

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Snack Documents

AS Program Number Sheet 1 (Excel file)
MPW Attendance and MMC Logs SPR 08 (Excel file)
Number Sheet 2 (Excel file)
Snack by Room Meal Count Summary (Excel file)
Snack FAQs 08 (Word document)

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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 Template (Word document)
ExCEL After School Enrollment Packet (Word document)
   After School Enrollment Packets are also available in Spanish and Chinese (pdfs)!