DECAL - Bright from the Start Forms

Forms

Pre-KChild Care Learning CenterFamily Day Care HomeCACFPSFSPFunding OpportunitiesTrainer

Pre-K Forms These forms are related to Pre-K

Child Registration Form
Parental Agreement
Child Registration Form - Spanish
Parental Agreement (Spanish)
Waiting List Information Form
Bank Change Form

Child Care Professionals Below are the forms and documents for Pre-K Child Care Professionals

Pre-K Planning Registration Form

PANDA Documentation The documents below are designed to assist providers with the PANDA system.

PANDA Frequently Asked Questions (FAQ)
PANDA Provider Roster Training Document
PANDA Student Roster Template
PANDA Waiting List Instructions
PANDA Waiting List Template
PANDA Pre-K Application Manual
PANDA Summer Transition Program Application Manual
PANDA Provider User Management
PANDA Reconciliation Training Document

Pre-K Providers` Operating Guidelines Below are documents and appendices that make up the Pre-K Providers` Operating Guidelines

Guidelines & Appendices (Complete Operating Guidelines Document)
Guidelines (Text Only)
Appendix A - Parent Acknowledgement
Appendix B - Social Security Number Information
Appendix C - Waiting List Information Form
Appendix D - Roster Information Form
Appendix E - Suspension Notification Form
Appendix F - Chronic Absenteeism or Tardiness Report
Appendix G - Curriculum Change Form
Appendix H - Basic Equipment List
Appendix I - Suggested Topics To Discuss at Parent Orientation
Appendix J - Suggested Items to Discuss for Staff Orientation
Appendix K - CAPS Form
Appendix L - Request for Waiver of Teacher Credential
Appendix M - Long-Term Substitute
Appendix N - Teacher Notification Form
Appendix O - Reconciliation
Appendix P - Request to Move a Pre-K Class
Appendix Q - Pre-K Training Cancellation Form
Appendix R - Grant Requirement Checklist
Appendix S - IQ Guide for the Learning Environment
Appendix T - IQ Guide for Daily Schedule
Appendix U - IQ Guide for Planning Instruction
Appendix V - IQ Guide for Assessment (WSS) - 170
Appendix W - IQ Guide for Assessment (WSO) - 170
Appendix X - Lead Teacher Training Plan

Child Development Forms These are Developmentally Appropriate Lesson and Daily Activity Plan related documents.

Schedules for Infant Toddler Programs
Sample Monthly Individual Plan
Blank Lesson Plan Form
Blank Lesson Plan Form 2
Sample Lesson Plan - Infants
Sample Infant Schedule
Sample Toddler Schedule
Sample Lesson Plan - One-Year-Old
Sample Lesson Plan - Two-Years-Old
Sample Lesson Plan - Three-Years-Old

Child Care Center Forms These forms are related to Child Care Centers

Applicant's Guide to Licensing
Change of Ownership Applicant Guide

Center These sample forms are related to Child Care Learning Centers and Group Day Care Homes that programs may use, if they choose. Centers and GDCH may develop their own forms that meet all the requirements of the rules and regulations.

Center - 25 Square Foot Request
Center - Application for Amendment
Center - Application Form for Child Care Personnel
Center - Daily Attendance & Arrival/Departure Record
Center - Change of Ownership Application
Center - Communicable Disease Chart
Center - Georgia Poison Center and Poison Plant List
Center - Diapering Handout
Center - Field Trip Permission Form
Center - Preventing TV, Furniture and Appliance Tip-Over
Center - Fire Drill and Tornado Form
Center - First Aid Guide - Manual
Center - First Aid Kit Checklist
Center - Handwashing Chart
Center - Staff Handwashing Rules
Center - Children's Handwashing Rules
Center - Incident Accident Report Form
Center - Medication Authorization Form
Center - Playground Maintance Checklist
Center - Steps for Successful Application
Center - Infant Sleep Safety - SIDS Poster
Center - Weather Watch Chart

Staff These are Staff related documents.

Staff - Credential Variance Application
Staff - Criminal Record Check Application
Staff - Criminal Records Check - Livescan Instructions
Staff - Employment Application - 10 Year History
Staff - Employee Documentation Record
Staff - Initial Staff Training Record
Staff - Staff Orientation Form

Nutrition These are Nutrition related documents.

Nutrition - USDA Creditable Food Guide
Nutrition - Meal Guidelines - Infant
Nutrition - Meal Guidelines - Ages 1 - 12
Nutrition - Menu - Blank
Nutrition - Criteria For Sack Lunches

Child These are Child related documents.

Child - Allergy Action Plan
Child - Authorization to Dispense External Preparations
Child - Enrollment and Emergency Medical Authorization
Child - Infant Feeding Plan
Child - No Liability Insurance Parent Acknowledgement
Child - Parental Agreements with Child Care Facility Form
Child - Swim Test Form

Transportation These are Transportation related documents.

Transportation - Agreement
Transportation - Record
Transportation - Vehicle Inspection Form
Transportation - Vehicle Emergency Form
School Transportation Form
Home Transportation Plan
Field Trip Transportation Form
Sample Field Trip Form with alarm
Sample Field Trip Form without alarm
Sample Field Trip Form with phone call
Sample Home Transportation Form with alarm
Sample Home Transportation Form with no alarm
Sample Home Transportation Form with phone call
Sample School Transportation Form

Posted Notices These are Posted Notices.

Posted Notices - Consumer Product Safety Poster
Posted Notices - Communicable Disease Chart
Posted Notices - Emergency Numbers
Posted Notices - No Liability Insurance
Posted Notices - No Smoking Sign
Posted Notices - Parents Rights Poster
Posted Notices - Required Items List

Family Day Care Home These sample forms are related to Family Day Care Homes that programs may use, if they choose. FDCHs may develop their own forms that meet all the requirements of the rules and regulations.

Fire Drill Log
First Aid Kit List
Weather Watch Chart

Family Day Care Home Forms These forms are related to Family Day Care Homes

Authorization to Dispense Medication
Children's Handwashing Rules
Staff Handwashing Rules
Communicable Disease Chart
Emergency Number Form
Family Day Care Applicant Guide
Family Day Care Home Five Training Areas
Family Day Care Home Parent Handbook
Family Day Care Home Rule Checklist
Family Day Care Home Registration Application
Family Day Care Home Change of Location
FDCH Food Sponsors
FDCH Policies and Procedures Guide Sample
FDCH Sign in Sheet
FDCH To Keep or Post Form
Georgia Poison Center and Poison Plant List
Infant Feeding Plan
Important FDCH Info and Requirements
Incident Report Form
No Liability Signature Form
Preventing TV, Furniture and Appliance Tip-Over
Steps to Complete and Submit a Family Day Care Home Application
Request to Care for Additional Children

Staff These are Staff related documents.

Helper Orientation Checklist

Posted Notices These are Posted Notices.

No Smoking Sign
Posted Notice - No Liability Coverage
Posted Notice - Parents Right Poster

Add A Site Checklists The following checklists help sponsoring organizations determine documents they need to submit for site approval.

Add A Site Checklist- Administrative Sponsor (Adding traditional Child or Adult Facilities)
Add A Site Checklist - Center Sponsor (Adding traditional Child or Adult Facilities)
Add A Site Checklist for Independent Centers Adding Sites
Add A Site Checklist- Administrative/Center Sponsors (Adding At Risk or Outside School Hours Centers Only)

Application and Related Documents (Site) Below are applications and supporting documentation for sponsoring organizations of centers to complete when adding new sites.

Childcare Center Application (Traditional Childcare Centers)
At Risk After-School or Outside School Hours Program Application
Delegation of Authority Form
Media Release for All Non-pricing Programs
Sample Media Release - Pricing Child Centers
Sample Media Release - Pricing Adult Centers
SAVE Affidavit with Verification Documents
Tax Exempt Status Certification for Churches
Adult Daycare Center Application
Alternate Licensure Form - Child Care Centers Only

Application Change Forms The forms below must be completed by institutions to change or update their current application or status.

Voluntary Closure Form
Institution Change Notification
Site Change Notification Form for Independent Centers
Site Change Notification Form for Sponsoring Organizations
Sponsor Update Form
Termination Letter for Admin Sponsor
Financial Enrollment Form/Vendor Maintenance Form
CACFP Electronic Enrollment/Update Form

DCH Sponsor Forms Below are required documents for sponsoring organizations of day care homes.

CACFP Advance Application
Enrolled Homes & Update Form Part I
Enrolled Homes & Update Summary Form Part2
Income Eligibility Stmt Provider's Own Children
Enrollment Roster
Pre-Op Form for Day Care Home Providers
Pre-Op form for Informal Providers
Provider & Sponsor sample Agreement
Provider File Checklist
Meal Count & Attendance form
Menu Record Worksheet
Tiering for DCH Provider Reimbursement
Verification Information

Day-to-Day Operations The forms below are used to capture and maintain required information for all institutions participating in the CACFP.

Daily Menu & Food Serv Record
At Risk Daily Menu & Food Service Record
FY2013 projected reimbursement
Infant Daily Menu Record by Child
Infant Menu Food Service Record
IES Household Letters and Supporting Documents
Income Eligibility Statement
Income Eligibility Package - Spanish
Monthly Record of Admin Costs Form
Monthly Record of Meals-Snacks Served
Monthly Record of Costs Form
Racial & Ethnic Data
Racial-Ethnic Data Collection Form
Reduced Price Income Guidelines
Roster for Child Care Center
Roster for Adult Day Care Center
Sample Infant Affidavit
Sample-Sponsor and Unaffiliated Center Agreement
Small Purchase Item Documentation Form
Time Distribution Report
Child Enrollment Form - DCH Providers
WIC Fact Sheet & Income Guide

Monitoring Forms Below are the required forms for sponsoring organizations to monitor their CACFP sponsored facilities.

Adult Center Review & Instructions 8-07
Child Care Center Review form & Instructions
DCH Provider Review Form & Instructions
Preoperational Visit Form & Instructions 08-07

SFSP Application Forms Below are required forms to assist applicants in submitting an SFSP application.

SFSP FY13 Application Instruction Booklet
SFSP Sponsor Application Checklist - Att A-1
Delegation of Authority Form
Potential Sponsor Viability Checklist- Attachment B
Public Release Certification Migrant and Open Site Att C1
Public Release Certification Enrolled/Camp Att C2
Public Release Certification Site Listing Att C3
Health Department Form Letter Att E
Menus for Nutrition Guidance Att F
Low Rate Cities Att J
Specification List Att K
Agreement to Furnish Food Appendix C
Sample School Food Auth Letter Att I
Invitation for Bid and Contract FNS 668 (9-98)
Procurement Checklist List - Attachment R
Procurement Manual
Site-Selection/Pre-Op Visit Form Att L1
New Site Super Training Documentation Att M1
Food Service/Site Staff Train Sign-in Sheet Att M2
Monitor Training Sign-in-Sheet Att M3
Financial Enrollment Form-Vendor Maintenance Form-Attachment N
DECAL Enrollment-Change Form - Attachment N1
Field Trip Notification Form Att O
Add-a-Site Checklist Att Q
Form W-9 Current IRS Rev.
Income Application - Attachment 10E
Total Projected Income Worksheet
Tax Exempt Status Certification for Churches
Pre-Awards Costs Request Form

SFSP Financial Information Below are required forms used by sponsoring organizations to SFSP track expenditures.

Monthly Record of Costs Form
Financial SFSP Management Instruction
Methods of Depreciation & Acquisition Cost
Equipment Depreciation & Inventory
Financial Allocation Methods
Financial Info/Attach 27 Potential Reim Wksheet
Financial Info Attach GH Budget Wksheet Fed Reim
Financial Info Attach J Georgia Statistical Data
Financial Information/SFSP ADA Calculation
Small Purchase Item Documentation Form
Financial Info/Monthly Record of Costs Form-Att 31
Annual Year End Reconciliation Form
Tax Exempt Status Certification for Churches

SFSP Record Keeping Forms Below are required forms used by sponsoring organizations to maintain accurate SFSP records.

Record Keeping/SFSP Record Keeping Guide
RecKeepForms/Attach14-Sponsor Site Agreement
Record Keeping Forms/ Att 16 - Meal Count Worksheet for Camps
Record Keeping Forms/Att 16A - Program Worksheet for Camp Sponsors
Record Keeping Forms/Meal Count Worksheet Att 18-A
Record Keeping Form/ Weekly Meal Consolidation Form-Attachment 19
Record Keeping Forms/ Daily/Weekly Meal Consolidation Form-Att 19-A
Record Keeping Forms/ Monthly Consolidation form - Att 20
Record Keeping Forms/ Monthly Consolidation form - Site Supervisor Use - Att 20
Record Keeping Forms/ Record Checklist - Att 22
Record Keeping Forms/Administrative Staff Mileage Record- Att 23
Record Keeping Forms/Attach 24 Checklist of Record
Recordkeeping Forms/Attach 25/Admin Staff Time Report
Recordkeeping Forms/Attach 26/Food Service Time Report
RecKeep Form Att M1 New Site Superv Training Sheet
RecKeep Form Att M2 Food Serv/Site Super Sign In
RecKeep Form Att M3 Monitor Sign-in Sheet
Recordkeeping Form/Attach P/Time Report Dual Admin Oper Staff
Record Keeping Forms/SFSP Delivery/Pick Up Receipt

SFSP Monitoring Forms Below are required forms used by sponsoring organizations to monitor their SFSP sites.

Monitoring Form/Attachment 33 SelfPrep Site Review
Monitoring Form/Attachment 34 Vended Site Review
Monitoring Form/Attachment L-1 Pre Op Form
Monitoring Form/Attachment L-2 Site Visit Form

Child Care Resource and Referral RFP Below are the forms related to the Child Care Resource and Referral Request for Proposal forms and application.

2009-2010 Child Care Resource and Referral Request for Proposal
2009-2010 Child Care Resource and Referral RFP Forms
2009-2010 Child Care Resource and Referral RFP Questions and Answers #1
2009-2010 Child Care Resource and Referral RFP Questions and Answers #2
2009-2010 Child Care Resource and Referral RFP Questions and Answers #3
2009-2010 Child Care Resource and Referral RFP Questions and Answers #4

Head Start Funding Opportunities Below are the forms related to the Head Start Funding Opportunities.

Head Start Expansion RFP
Early Head Start RFP
Seasonal/Migrant Head Start RFP
Alaskan/Native American Head Start RFP

Other Funding Opportunities Below are the applications and forms related to other funding opportunties

There's Still Time!
FIRST Press Release
FIRST Pre-Application
FIRST Frequently Asked Questions
FIRST Flyer
Accreditation Facilitation RFP

Trainer Acknowledgement Forms This page is for PITC Certified Trainers ONLY Below are the trainer acknowledgement forms based on the level of the Trainer

For Beginner Training/Trainers
For Intermediate Training/Trainers
For Advanced Training/Trainers

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