Forms
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New York State 21st CCLC Site Monitoring Visit Report
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Program Activity Implementation Review Form
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NYS 21st CCLC Program Modification Request Fact Sheet May 2019
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NYS 21st CCLC Student Participant Reporting Fact Sheet April 2019
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New York State 21st CCLC Timeline January 2019 - December 2019
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21st CCLC Updated Program Modification Form
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CBO Verification of Services
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Field Trip Permission Slip
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NYSED Recommended Lesson Plan Template
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Parent Letter
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Participant Enrollment
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Photo Consent
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Release of Child
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School and Community
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Semester Outline
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Student Data and Evaluation Consent Form
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Student Sign-In
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Weekly Schedule
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Advisory Committee Meeting Sign In
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Daily Attendance
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Daily Schedule Form
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Equipment and Consumables Tracking Form
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Example Agenda Advisory Meeting
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Example Daily Attendance
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Example Daily Schedule Form
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Example Monthly Attendance
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Fire Drills
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Monthly Attendance
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PD Tracking Based on OCFS
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Daily Lesson Plan
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21st CCLC Projection Workbook courtesy of Karinda Shanes
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Updated Program Timeline 2017-2018 (March 2018)
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Grants Finance Forms - FS-10, FS-25, etc.