Required Reports and Forms

• Required Reports
• Definitions of Measures
• Financial/Administrative Forms
• Prevention Evaluation Plans
• FY 12 Contract Renewal

You may also wish to see our page for Substance Abuse Contractors.

FY12 Contract Renewal

• FY12 Contract Renewal Instructions (MS Word)
• Staff Assignments (MS Excel) Updated July 8, 2011
• Cost Reimbursement Budget Schedules (MS Excel)
• Match Summary Instructions (MS Excel)
• Match Summary (MS Excel)
• Contractor Contact Information Form (MS Excel)
• Contractor Subcontractor Information (MS Excel)
• Clinic Request Form (MS Excel)

Required Reports

• FY 2012 Reporting Requirements and Due Dates (MS Word) Posted October 28, 2011
• CCP Mid-Year Program Report and Final Program Report (MS Word) Posted October 28, 2011
• CCP Guidance to Complete Annual Report (MS Word) Posted October 28, 2011
• PRC Regional Needs Assessment Report (MS Word) Posted October 28, 2011
• PRC Mid-Year Report and Final Program Report (MS Word) Posted October 28, 2011
• HEI Quarterly Report (MS Word) Posted October 28, 2011
• PRC Regional Survey Tool (MS Word) Posted October 28, 2011
• Intervention Program Activities Form - HIV, RBI, PPI (MS Excel)
• Prevention Program Activities Form - CCP, PRC, YPU, YPS, YPI (MS Excel)
• Annual Curriculum Implementation Plan - YPU, YPS, YPI (MS Excel)
• CMBHS Security Attestation Form (MS Word)  

Key Performance Measures/Goals and Definitions

• FY 2012 Key Performance Measures Definitions (MS Word) - Revised, Posted November 9, 2011
• FY 2012 Key Performance Measures and Goals Form (MS Excel)
• FY 2012 Treatment and OSAR Measures and Definitions (MS Excel)
• FY 2012 Treatment and OSAR Performance Measures (MS Word)

Financial/Administrative Forms

• Vendor Direct Deposit Form
• Request for Budget/Program Adjustment - Cost Reimbursement Revised February 2011 (MS Excel)
• Request for Budget/Program Adjustment - Unit Rate (MS Excel) - Revised November 22, 2011
• Contract Revision Request (CRR) Form
• Clinic Number Request Form

Prevention Evaluation Plans

• Al Pals Evaluation Plan (MS Word) - 2009
• All Stars - Evaluation Plan Revised For FY 2006 (MS Word) - 2005
• Evaluation Plan For Leadership And Resiliency Program (MS Word) - 2009
• Evaluation Plan For Protecting You And Protecting Me For 2006 (MS Word) - 2005
• Keepin It Real Evaluation Plan New (MS Word) - 2009
• Kids’ Connection Observation Form and Instructions for children in Grades K-3rd (MS Word) - 2009
• Kids’ Connection Youth Connection Survey and Instructions for Grades 4 and Up (MS Word) - 2009
• Life Skills Survey For Middle And Junior High - Revised For FY 06- Evaluation Plan (MS Word) - 2005
• Life Skills Test For Elementary Students - Revised For FY06 (MS Word) - 2005
• New Reconnecting Youth Evaluation Plan (MS Word) - 2009
• Positive Action - Grades 4-6 (O) (3) R (MS Word) - 2009
• Positive Action For Kindergarten (MS Word) - 2009
• Positive Action For Middle School (O) Revised March 13 (MS Word) - 2009
• Positive Action Test - Grades 1-3 (O) R (MS Word) - 2009
• Positive Action Test - Grades 9-12 (O) March 2009 Revisions Revised (MS Word) - 2009
• Project Alert - Evaluation Narrative FY06 (MS Word) - 2005
• Project Alert FY 2006 (MS Word) - 2005
• Project Alert New Test - Final Version FY 06 (MS Excel) - 2005
• Project Alert New Test For FY 06 (MS Excel) - 2005
• Residential Student Assistance Program New (MS Word) - 2009
• Second Step for Middle and Junior High Schools (MS Word) - 2009
• Strengthening Families for 6 to 11 Years Old (MS Word) - 2011
• Strengthening Families For 13 To 16 Years Old (MS Word) - 2009
• Strengthening Families Program For Teens - Evaluation Plan (MS Word) - 2005
• Strengthening Families Program For Teens - Survey (MS Word) - 2005
• Too Good For Drugs - High School (MS Word) - 2009
• Too Good For Drugs - K - 3rd Grade Observation Form (MS Word) - 2009
• Too Good For Drugs Elementary 2 (4th and 5th Grades) (MS Word) - 2011
• Too Good For Drugs For Middle And Junior High School (MS Word) - 2009