Download any of the forms needed to implement the Desired Results system at your agency.

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FORMS

Forms, Tools and Reference Materials

The following forms, tools and reference materials are intended for use by state-funded agencies who have completed the three-day Desired Results System course presented by the Desired ResultsTraining and Technical Assistance Project.

Assessing and Reporting Children's Progress:

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Desired Results Developmental Profile-Revised (DRDP-R) Instruments:

Infant/Toddler- Birth to 36 months (Revised Mar-2008): 
PDF;1.63MB | DOC;200KB |  Spanish PDF;1.3MB
Preschool - 36 months to Kindergarten (Revised Mar-2008):
PDF;1.2MB
 | DOC;231KB   |  Spanish PDF;6.9MB | Expanded Version with Supporting Information and Directions PDF;2.7MB  |  Head Start Version + SETA ELL PDF;1223KB | Accessible Expanded Version PDF; 402KB
School Age - Kindergarten to 12 yrs (Revised Mar-2008):
PD
F;1.1MB |   DOC;206KB  |   Spanish PDF;519KB
DRDP-SA© (2009) School-Age Instrument New Oct-2009; PDF; 883KB

Information/Instruction Pages- Cover sheet and instructions used for each child's DRDP-R contains important demographic information:

Infant/Toddler: PDF; 108KB |  DOC; 54.5KB |  Spanish PDF;108KB  | Spanish DOC;58.5KB
Preschool: PDF;108KB |  DOC;55KB |  Spanish PDF;108KB
School Age:   PDF;108KBDOC;55KB |  Spanish PDF;108K | Spanish DOC;55KB

DRDP-R User's Guide (Updated March 2008): PDF;4.42 MB |  DOC;4.44MB

Rating Records [horizontal]:

Infant/Toddler: PDF;101KB |  XLS;30KB
Preschool: PDF;102KB |  XLS;30KB |  Spanish PDF;102KB |
Head Start Version + SETA ELL PDF;3.8MB
School Age: PDF;98KB | XLS;30KB

Child's Developmental Progress Forms- Optional form used to summarize DRDP information for parents: DOC;31KB |   Spanish DOC;31KB |   Chinese NJX;31KB

Group Data Summaries:

Tally Sheets:
Infant/Toddler: DOC;140K
Preschool: DOC;214KB
School Age:
DOC;196KB

Excel files: Excel spreadsheet files to support calculating classroom or group DRDP-R totals (Instructions- DOC;356KB)
Infant/Toddler: Up to 30 children XLS;130KB  | Up to 80 children XLS;141KB
Preschool: Up to 35 children XLS;110KB  | Up to 80 children XLS;140KB
School Age: Up to 35 children XLS;127KB  | Up to 80 children XL;146KB

Compile Total DRDP-R Group Data Summary Excel Files:
-Instructions to Compile Total DRDP-R and Parent Survey Group Data Summary Excel Files DOC;101KB
-Sample File of Infant Toddler Compile Total DRDP-R Group Data Summary Excel file XLS;515KB
Infant/Toddler: XLS;241KB
Preschool: XLS;279KB
School-age: XLS;326KB

Summary of Findings - Used to summarize key findings and quality improvement plans from DRDP: DOC;25KB

Summary of Findings (Sample): DOC;34KB

Assessing & Reporting Family Goals:

Desired Results Parent Survey: Parent survey distributed to parents/families
DOC;59KB
  Spanish DOC;59KB

Parent Survey Group Data Summary:  XLS;80KB
-Optional Excel spreadsheet tool used to compile data from multiple parent surveys
-For those agencies who do not use Excel, Parent Survey Group Data hand tally version DOC;35KB is simply a printable Word file of the GDS Overview sheet, with expanded room to enter tally marks by hand

Parent Survey Compiled Total Group Data Summary: XLS;85KB
For those agencies who have used the Excel Parent Survey Group Data Summary files for each classroom/FCC Network home, you can now use this Compiled Total Parent Survey Group Data Summary file to calculate data for multiple classrooms or FCC Network homes to view data for a complete contract or program.

Parent Survey Summary of Finding: DOC;31KB
Used to summarize key findings and quality improvement plans from parent surveys

Parent Survey Summary of Findings sample: DOC;38KB

Assessing & Reporting Classroom/Family Child Care Home Environments:

Link to Environment Rating Scales Web site

Environment Rating Scale Summary of Findings - CD 4002 (Revised Mar-2009; DOC; 49KB; 3pp.) - Use to summarize key findings and quality improvement plans from Environment Rating Scales.

Subscale Averaging worksheet:
ECERS
  FCCERS   ITERS   SACERS

Additional Notes for Clairification:
ECERS   FDCRS   ITERS   SACERS

Compile Program ERS Subscale Scores Worksheet (DOC;28KB) -for assistance in computing your contract or program ERS subscale scores across multiple classrooms/FCC Network homes, use this Word worksheet. NOTE that this is a Word document worksheet not an Excel file.

Assessing & Reporting Program Goals:

The complete FY 2008-09 Program Self-Evaluation packet consists of: (1) Instructions for Completing the FY 2008-09 Program Self-Evaluation and (2) FY 2008-09 Program Self-Evaluation Forms and Instructions (Mar-2009; DOC; 210 KB; 17pp.).

Environment Rating Scale Summary of Findings - CD 4002 (Revised Mar-2009; DOC; 49KB; 3pp.) - summarizes key findings and quality improvement plans from Environment Rating Scales. #1 of five forms sent to CDD by June 1 of each year.

Desired Results Program Action Plan - CD 4003 (Revised Mar-2009; DOC; 44KB; 2pp.) - summarizes program-wide trends/themes found among DRDP, Parent Survey and Environment Rating Scale Summaries of Findings. #2 of six forms sent to CDD by June 1 of each year.

Program Action Plan Samples (DOC; 38KB): Infant/Toddler, Preschool, School-Age/FCCHN

Agency Annual Report - CD 4000 (Revised Mar-2009; DOC; 43KB; 2pp.)
- describes how the annual report was compiled and who participated in the process. #3 of six forms sent to CDD by June 1 of each year.

Agency Categorical Program Monitoring/Contract Monitoring Review (CPM/CMR) Summary of Findings - CD 4001  (Revised Mar-2009; DOC; 55KB; 2pp.)
- summarizes agency's non-compliance findings in the CPM/CMR instrument. #4 of six forms sent to CDD by June 1 of each year.

Personnel Roster - CD 3701 (Revised Mar-2009; DOC; 69KB; 3pp.) -summarizes agency personnel. #5 of six forms sent to CDD by June 1 of each year.

Attestation of Qualified Staff and Ratio Requirements - CD 3701A (New Mar-2009; DOC; 40KB; 2pp.) #6 of six forms sent to CDD by June 1 of each year.

Fiscal Year 2008-09 Program Self-Evaluation Checklist (New Mar-2009; DOC; 39KB; 1pp.)