Site Monitoring Visit
& SMV Resources

​SMV and TA Visit Documents

• Round 8 Site Monitoring Visit Report Template (Updated 9/5/24)

• Action Plan Agreement Template PDF 

• Site Monitoring Visits and Action Plan Fact Sheet

• Glossary for the Site Monitoring Visit Tool

• Technical Assistance Site Visit Template

• Round 8 Welcome Visit Tool (Updated Aug 2023)

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SMV Section A Resources

• Sample Safety Drill Log  (A-4)

Approved for use in the current round (revised Oct. 2021). Programs must collect all of the information in the standard enrollment form, and can make additions if necessary (see 7/12/23 memo below).​​

• Standard Enrollment Form (SMV A-6-a)

  • Translated Versions:

    • Arabic PDF  |  Arabic DOCX

    • Bengali PDF  |  Bengali DOCX

    • Chinese Simplified PDF  |  Chinese Simplified DOCX

    • French (France) PDF  |  French (France) DOCX

    • Haitian Creole PDF  |  Haitian Creole DOCX

    • Korean PDF  |  Korean DOCX

    • Russian PDF  |  Russian DOCX

    • Spanish (US) PDF  |  Spanish (US) DOCX

    • Urdu PDF  |  Urdu DOCX​

• 21st CCLC Enrollment and Forms Memo (7/12/23)

 

SMV Section B Resources

• Sample Staff and Activity Schedule (B-2-a & B-6)

 

SMV Section C Resources

• Personnel Activity Reports (PARS) (C-3-c)

  • Single Funding Source​

  • Multiple Funding Sources

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SMV Section D Resources

• Sample Program Activity Implementation Review (PAIR) Form (D-2)

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SMV Section E Resources

• Lesson Plan Template - Updated 1/24/23 (E-2-a)

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SMV Section F Resources

• "Maximizing the Education Liaison Role in 21st CCLC Programs"

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SMV Section G Resources

• Student Interest Surveys & Focus Group Information (G-1)

• Advisory Board Membership Agreement & Scheduling Organizer Template (G-2-a & c)

• Advisory Board Meeting Agenda & Action Planner Template (G-2-b & d)

• Sample Family Needs Assessment Surveys: Sample 1 | Sample 2 (G-4)

• "Meaningful Family Engagement Strategies for Expanded Learning Programs"

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SMV Section H Resources​

• Evaluability Checklist PDF | DOCX (H-3-a)

• Sample Sustainability Plan (H-7)

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POST SMV - Action Plan

• Action Plan Agreement

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