Demographic forms template
[DOC File]DEMOGRAPHIC AND HEALTH SURVEY
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Demographic and Health Survey Interviewer’s Manual ICF International Calverton, Maryland October 2012 MEASURE DHS is a five-year project to assist institutions in collecting and analyzing data needed to plan, monitor, and evaluate population, health, and nutrition programs.
[DOC File]Functional & Technical Requirements Document Template
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Standard, built-in reports and forms required by the U.S. Department of Housing and Urban Development(HUD), including the SHP Annual Progress Report, HUD’s Annual Homeless Assessment Report (AHAR) table shells, data validation reports, an unduplicated client count report, and basic client demographic reports
[DOC File]Demographic Information Sheet - Pepperdine University
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Demographic Information Form. Instructions: Please provide a response for each of the following questions: 1. What is your age? _____ 2. What is you sex? Female ( Male (3. What is your marital status? Single ( Married ( Separated ( Divorced Widowed (4. What is your annual income (or combined annual income if you have a spouse)? ...
[DOC File]Student Information Sheet
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Title: Student Information Sheet Author: default Last modified by: default Created Date: 8/4/2007 7:56:00 PM Company: Bibb BOE Other titles: Student Information Sheet
DSMB Report Template
Delete template-specific instructional text as well as this Tool Summary Sheet during the report development process. Leave the template version information in the lower left hand corner of the document. It is easiest and cleanest to use the styles that are embedded in the document, rather than to create your own.
[DOCX File]School Data Analysis
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SDA Template. 1. School Data Analysis. March 2015. School Data Analysis. School Name: Click here to enter text. ... Demographic data is data that provides descriptive information about the school community. Examples may include enrollment, attendance, grade levels, race/ethnicity, gender, students with disabilities, English learners, socio ...
[DOC File]Change Request Form Example
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[This form is divided into three sections. Section 1 is intended for use by the individual submitting the change request. Section 2 is intended for use by the Project Manager to document/communicate their initial impact analysis of the requested change.
[DOC File]NEPA Environmental Assessment Checklist
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Demographic Character Changes. Displacement Employment and Income Patterns. Community Facilities. and Services Code Source or Documentation. Educational Facilities Commercial Facilities Health Care Social Services Solid Waste Waste Water Storm Water Water Supply Public Safety - Police - Fire - Emergency Medical Open Space and Recreation ...
[DOC File]Case Management Assessment Form
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Apr 27, 2010 · Please refer to original intake and assessment for any demographic information. ***** Education: Educational level: Grade School High School/GED Associates Degree. Undergraduate Degree Graduate/Post Grad. Degree . Reading Ability/Literacy: High Moderate Limited . Race/Ethnicity: Race: African American/Black Latino/Hispanic ...
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