Literacy CyberSpace

Family Literacy Instruction

  

 

Family Literacy
Home


What is
Family Literacy?



Parent Sites


Children Sites


Educator Sites


Take Lessons


Interactive Literacy Activities


Site Map




Click here to download Adobe Acrobat Reader

Documentation Samples
Each time you click on a website link, a new window may open. To return to this page, close the new web page by clicking on the X in the top right corner of the page.
Find sample forms and logs for your program.
Documentation Samples
Most of the following documents are in both Microsoft Word format and Adobe Acrobat.  Feel free to change the Word documents to make them fit your program.
  • At-home Activities List - [Word]  [Adobe]
    Activities that can be done at home, on the go, indoors and out.

  • Client Contact Record- [Word]  [Adobe]
    Keep a record of meetings and phone calls with each of your clients.

  • End-of-Term Survey - [Word]  [Adobe]
    Get feedback from your parents on how well your program meets their needs.

  • Family Goals Plan - [Word]  [Adobe]
    A one-page outline that helps families identify and work toward their goals.

  • Family Program Checklist - [Word]  [Adobe]
    Helps parents see their progress and stay focused on the requirements of your program. 

  • Home Visit Lesson Plan Outline - [Word]  [Adobe]
    Outlines lessons for Adult Education, Parenting Education and Parent Child Activities.

  • Home Visitor Self-Evaluation - [Word]  [Adobe]
    How are you doing professionally?

  • Kent State University Family Literacy Resource Notebook - Currently available in Word only. Browse Chapter 10 (page 242) for documentation and ways to evaluate your program.
  • Materials Check-out Log - [Word]  [Adobe]
    Helps the home visitor and the parents keep track of materials on loan.

  • Monthly Home Visit Record - [Word]  [Adobe
    Can be used by home visitors to document their home visits including lesson plan topics and parent signatures.
  • PACT Activity Evaluation - [Word]  [Adobe
    A one-page form that helps parents evaluate any PACT (parent and child together) activities.

  • PACT Meeting Sign-in Sheet - [Word]  [Adobe]
    Documents how actively your parents are participating in your monthly, center-based PACT meetings and can be maintained for one year.

  • Parent & Home Visitor Commitment Form - [Word]  [Adobe
    An agreement between the home visitor and the parent that outlines program requirements.

  • Parent-planned Activity Outline - [Word]  [Adobe
    For parents who are required to plan activities of their own, this log helps guide them.

  • Parenting Article Review - [Word]  [Adobe]
    Allows your parents to review articles and document outside reading assignments..

  • Parenting Seminar Topics - [Word]  [Adobe]
    Find some ideas for your monthly PACT meetings.  You can have guest speakers, teach mini-lessons, and complete activities based on these topics.

  • Program Withdrawal Request - [Word]  [Adobe]
    Keep track of those students who exit your program.

  • Reading Activity Evaluation - [Word]  [Adobe
    A half-page form that helps parents evaluate literacy PACT (parent and child together) activities.

  • Re-entry Commitment Form - [Word]  [Adobe]
    Renew your agreement with parents who return to your program.

  • Weekly Reading Log - [Word]  [Adobe
    Maintains a running record of time spent reading in the home.  
Copyright© 1999-2008 Literacy CyberSpace
Project funded with grants from the
Division of Workforce Education of the
Florida Department of Education
325 West Gaines Street
Tallahassee, Florida 32399


Hosted by
Northwest Florida State College
100 College Boulevard
Niceville, FL 32578
850-729-5344
literacy@nwfstatecollege.edu