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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
    • Adult Education
  • Housing
    • Energy Assistance
    • Weatherization
    • Homeless & Prevention
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    • Septic Financial Assistance
    • Second Chance Homes
  • Benefits & Assistance
    • SNAP Application Assistance
    • Health Insurance
    • Medical Loan Closet
    • Tax Assistance
    • Foundation Fund
  • Career Help
    • Dislocated Worker
    • Minnesota Family Resiliency Partnership
    • 55+ Employment Services
    • Support for SNAP Participants
    • Support for MFIP Participants
  • Youth Services
    • Independent Living Skills
    • Youth Education / Employment Training
  • Senior Services
    • Meals on Wheels
    • Senior Dining
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  • Business & Commercial Services
    • Business Energy Retrofit
    • Downtown Building Rehabilitation
    • Rental Rehabilitation
  • Transportation

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 – School Year (P)

    Fire and Tornado Drill Log – Full Year (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)

    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)
    Milk Substitution (P)
    Menu – 0-11 Months – Fillable
    Menu – 12 Months & Up – Fillable

  • 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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