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For Internal Use Only: Kindergarten Readiness

FKR

Program Name
- Martin
- Sonlight
- Family Cohort
List classroom and/or providers coached
Date - must be mm/dd/yyyy format
MM slash DD slash YYYY
Number of Children left/dismissed/expelled
Why the child left
Number of coaching sessions
Number of contacts
quick calls, emails, social media, etc.
Staffing Updates (hired, left)
Time

: Hours

Minutes

You can document each interaction or add up the time for the week.
Number of demographic forms received
Activities
- Referral IECMH
- Referrals made to community resources (Child Find, Bayview, etc.)?
- Provider training
- Family Workshop
- PSMH
- ERS
- Plan of Action
Choose as many as you need
Summary of activities
include workshop titles and number of attendance, general goals and consultation as well as coached providers names
Success
Challenges
scheduling, staffing etc.

Project ACT’s Funders Include

Dd Council

Baltimore Co

Msde

Mccrn

Maryland Family Network

8503 LaSalle Rd
Towson, MD 21286
Monday - Friday 9:00 am - 4:00 pm
443-900-6458 | crcbc@abilitiesnetwork.org

8503 LaSalle Rd
Towson, MD 21286
Monday - Friday 9:00 am - 4:00 pm
443-900-6458 | crcbc@abilitiesnetwork.org

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The Project ACT Child Resource Center of Baltimore, Harford and Cecil County is a member of the Maryland Child Care Resource Network with funding provided from the Maryland State Department of Education, through Maryland Family Network, and Abilities Network.