Program Implementation Tools and Resources

Evaluation Planning Framework [MS Word]

Parent Survey Template [MS Word]  AIU created a template parent survey for grantees to use.  Grantees are not required to use the form; it is provided as a resource.  To use this template, download and save the file to your local computer.  Insert the information indicated by the brackets.  Adjust as needed.  This form is intended to be distributed and collected on paper. 

Staff and Volunteer Clearance Tracker [MS Excel]

Monitoring

Monitoring Self-Assessment and Planning Instrument [MS Word]

Download the 21C Virtual Monitoring Site Visit Itinerary Guide [MS Word]

Data Safeguarding

**IMPORTANT**  Data Safeguarding and Parent Data Permission forms: while it is important to have such forms in place, it is even more important to actually be following protocols related to student data security.  Be sure that your program and your staff are aware of FERPA practices and requirements. 
Data Safeguarding Statement Template [MS Word]
Student Data Permission Form Template [MS Word] 

Student Data Tools

Student Daily Program Attendance Tracking Tool [MS Excel] New!

Allegheny Intermediate Unit maintains all rights associated with the 21st CCLC Evaluation Handbook and accompanying resources, except those developed and provided by PDE and/or the Center for Schools and Communities.  AIU-developed resources are sole property of the AIU and are being provided without warranty at no cost for the benefit of 21^st CCLC programs.

Teacher Surveys

Click here to access the PA 21st CCLC Teacher Survey page.   

Please email Leslie McConnell if you have questions.

PA 21st CCLC Teacher Survey [paper/Word-form version, download to use]  

Please remember that if you are using the web-based survey and 1) have multiple cohorts of funding or 2) have a grantee name that may be unknown to teachers, you need to tell teachers which grantee and cohort a student belongs to before the teacher(s) completes the survey online..