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AppleWorks Document  |  1986-05-15  |  3KB  |  44 lines

  1. O=====================|=========================================================
  2. New Horizons Ministries
  3. Intra-Facility Student Transfer Checklist
  4.            STUDENT'S NAME __________________________
  5. =           DOE:______________________  DOB:________________  
  6. DOT:______________________
  7. RECEIVING  SENDING
  8. FACILITY   FACILITYH
  9. ___________________  1.  Last, or currently in use weekly point sheet.
  10. ___________________  2.  Student Money Accounts
  11.                      ____ a. Regular (or Allowance)
  12.                      ____ b. Savings
  13.                      ____ c. Debts owed to students cleared
  14. K                     ____ d. Debts owed to facility cleared, or Debt/Creit 
  15. sheet forwarded
  16. ___________________  3. All confiscated or stored items
  17.                      ____ a. Returned to studentM
  18. K                     ____ b. Given to Receiving facility supervisior if of 
  19. "negative" nature.N
  20. L                     ____ c. Luggage, duffle bags, sports equipment, games, 
  21. ___________________  4. Graph (Up to Date)
  22. ___________________  5. Mail/Phone call Record
  23. ___________________  6. Student File Items 
  24.                      ____ a. Birth CertificateK
  25.                      ____ b. Incoming Clothing/Personal Effects Inventory@
  26.                      ____ c. Three months of back point sheets
  27. N                     ____ d. Next Monthly Progress Report/Report Card written 0
  28. .and transfered, or notification of Due Date.  
  29. Next Due/
  30.                              DATE: __________
  31. __________________  7. School packet from the principal or housefather.
  32. SENDING FACILITY SUPERVISOR:_______________________________
  33. RECEIVING FACILITY SUPERVISIOR:____________________________
  34. PROGRAM DIRECTOR___________________________________________
  35. DATE_________________
  36. NNOTES:  DOE = Date of Entry to NHYM  DOB = Date of Birth  DOT = Official Date 
  37. of TransferM
  38. K        For any area that the item will not be forwarded (point sheet), or ;
  39. does not exist (debts), write NONE in the check-off area.K
  40. I        Monthly Progress Report - If one or two full weeks under sending H
  41. Ffacility, a brief summary must be sent.  If three or more weeks under B
  42. @sending facility, the sending facility is responsible to follow 
  43. regular report procedures.
  44.