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  • Call Now: 1-800-662-5711
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AEOA
  • Programs
  • Who We Are
    • About Us
    • Our Leadership
    • Locations
  • Get Involved
    • Donate
    • Volunteer
    • Share Your Story
    • How Are We Doing?
    • Partner With Us
    • Make Change
  • News & Blog
  • Resources
  • Careers
  • Donate
  • Education
    • Head Start
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  • Housing
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  • Benefits & Assistance
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  • Career Help
    • Dislocated Worker
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    • 55+ Employment Services
    • Support for SNAP Participants
    • Support for MFIP Participants
  • Youth Services
    • Independent Living Skills
    • Youth Education / Employment Training
  • Senior Services
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  • Business & Commercial Services
    • Business Energy Retrofit
    • Downtown Building Rehab Program
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Program Forms

  • Child and Family Program Forms

    Behavior Tracking Tool (F/P)

    Bus Evacuation Drill Report (F)

    Bus Attendance and Tracking (P)

    Case Management (F)

    Child Abuse and Neglect Report Form – St. Louis County Report Child Abuse

    Children’s Dental Service (CDS) Consent Form (P)

    Child and Family Signature Tracking (P)

    Child Referral – Child Referral Form (CRF) (F)

    Child Referral – Child Modified Schedule (F)

    Child Referral – Mental Health Consultant Services (F)

    Daily Sign In/Out Form (P)

    Disposition of Medication (P)

    Field Trip and Event (F)

    Fire and Tornado Drill Log (P)

    Getting to Know Your Child and Family (P)

    Getting to Know Your Child and Family – Infant and Toddler (P)

    Immunization Exemption Form (MN Dept. of Health) (P)

    Lesson Plan – Preschool – 4 Day Classrooms (F)

    Lesson Plan – Preschool – 5 Day Classrooms (F)

    Lesson Plan – Media Use Template (F)

    Lesson Plan – Small Group Activity Template (F)

    Lesson Plan – Distance Learning (F)

    MARRS (MN Early Childhood Registration Form) (P)

    Minneapolis Preschool Screening Instrument (For RESCREEN ONLY) (P)

    Pathway I Scholarship Application (F)

    Pathway II Scholarship Application (F)

    SEAM – Infant Family Profile SEAM (F)

    SEAM – Toddler Family Profile SEAM (F)

    SEAM – Preschool Family Profile SEAM (F)

    Separation Report (P)

    Sign In/Out – Non Parents Form  (P)

    Socialization Form (P)

    Strengths & Difficulties Questionnaire (SDQ) (F)

  • At Home Activity Forms

    January

    February

    March

    April

    May

    June

    July

    August

    September

    October

    November

    December

  • Child and Adult Care Food Program (CACFP)

    Breakfast Menu (F)
    CACFP Site Monitoring – Five-Day Reconciliation Form (F)
    Child and Adult Care Food Program (CACFP) Enrollment Form (P)
    Field Trip Food Record (F)
    Food Temperature Log (F)
    Lunch Menu (F)
    Milk Substitution (P)
    Snack Menu (F)

  • Health Alert Notice Forms

    Chicken Pox

    Croup

    Fifth Disease

    Hand-Foot-and-Mouth

    Impetigo

    Infectious Diarrhea

    Influenza

    Lice

    Mono

    MRSA

    Pinkeye

    Pinworms

    Rash – Undiagnosed

    Ringworm

    RSV

    Scabies

    Strep Throat & Scarlet Fever

  • Staff Forms

    Bloodborne Exposure – Hepatitis Immunization Consent/Refusal (P)

    Bloodborne Exposure – Medical Exam Declination (P)

    Bloodborne Exposure – Post-Exposure Medical Evaluation (P)

    Employee Emergency Contact Form (F)

    Employee Health Exam Form (P)

    Material Requisition Request Form (F): Review the Inventory Catalog

    Paid Time Off (PTO) Pay Out

AEOA

Providing opportunities across the Arrowhead Region of Minnesota for over 60 years.

TF: 1 (800) 662-5711 | P: (218) 749-2912 | F: (218) 749-2944

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