Forms & Documents
The following forms and documents are provided here for your use. You may open the files by clicking on the title of the document or if you are on a PC, right click to download the file.

For Schools

School to Community Liaison Referral for Intervention Services
(Word file, English)

This is a form for AISD Social Workers to use when they refer a student on their campus for social services.

Monthly Report Information: Tutor/Volunteer Visits
(Excel file)

A record of tutor/volunteer visits for the month.

Monthly Report Information: Mentor Visits
(Excel file)

A record of mentor visits for the month.

Monthly Report Information: Donations
(Excel file)

A record of your donations for the month.

Partnership Plan 2006-2007
(English, Word file)

Fill this form out with your community partner/business to plan your partnership for the year.

Partnership Plan 2006-2007
(Spanish, Word file)

Fill this form out with your community partner/business to plan your partnership for the year.

School Needs Form
(Word file)

Tell us what your school needs are! Maybe we can help! Please fax this form to APIE at 512.473.8636.

Mentoring

Mentor Program Data (campus coordinators)
(English, Excel file)

Campus coordinators should use this form to record program data.

Sample Mentor Sign-in Sheet
(English, Word file)

This is a sample sign-in form for use during mentoring activities.

Mentoring Consent Form
(English/Spanish, Word file)

This is a consent form in English and Spanish for for parents to sign and authorize their child's participation in the Mentoring program.

Sample Parent Letter
(English, Word file)

This is a letter in English for teachers to send to parents recommending tutoring/mentoring for their child. This letter should be accompanied by the permission form.

Sample Parent Letter
(Spanish, Word file)

This is a letter in Spanish for teachers to send to parents recommending tutoring/mentoring for their child. This letter should be accompanied by the permission form.

Mentor Handbook
(English, PDF)

The Mentor Handbook contains information, instructions and forms for mentors.
Mentor Profile Form
(Word file)

This form is required for mentor registration.

Mentor Profile Form
(Word file -- e-form)

This e-form is required for mentor registration, and the content is the same as the form above. The e-form allows you to select reponses to questions from a list, and may be easier to fill out.

Mentor Reference Form
(Word file)

APIE requires 2 references for each potential mentor -- one family member and one other personal or professional reference from someone who has known the applicant for at least one year.

Student Eligibility Criteria Form
(Word file)

This document lists student eligibility criteria for participation in the mentor program.

Student Referral Form
(Word file)

This form is for teachers to refer students for mentoring.

Getting to Know You Form
(Word file)

Students should fill out this form for the mentor program.

Tutoring

Parent Permission Form
(English, Word file)

This is a sample permission form for parents to sign and authorize their child's participation in Mentoring/Tutoring.

Parent Permission Form
(Spanish, Word file)

This is a sample permission form in Spanish for parents to sign and authorize their child's participation in Mentoring/Tutoring.

Sample Parent Letter
(English, Word file)

This is a letter in English for teachers to send to parents recommending tutoring/mentoring for their child. This letter should be accompanied by the permission form.

Sample Parent Letter
(Spanish, Word file)

This is a letter in Spanish for teachers to send to parents recommending tutoring/mentoring for their child. This letter should be accompanied by the permission form.

For Schools
The following pages contain forms and information for schools:


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701 Brazos, Suite 480 Austin, Texas 78701     Tel: 512.637.0900   FAX: 512.473.8636      Copyright 2005
Austin Partners
In Education