Post Residential Monthly Report

REQUIRED REPORTING

Mentors are to maintain contact with their Cadet and Case Manager during the 12 month Post Residential phase and submit the the following monthly reports on time.

Each report can be filled out online and saved/downloaded. You can then upload the completed form on this page or fax to 918-824-4829

SCANNING TIPS

You can download a scanning app on your smartphone that will convert document photos to PDFs.

More Scanning Tips

Submit Monthly Report

"*" indicates required fields

Case Manager
Cadet*
Mentor*

Post Residential Class and Reporting Month Range

Cadet Education Information

Is your Cadet attending classes? Please Supply all information.
Type of School*
Select Status*
GED*
Date Enrolled*
Date Exited
Program Location

Cadet Employment Information:

Is your Cadet working? Please Supply all information.
Supervisor Name
Start Date
End Date

Cadet Military Information

Is your Cadet enlisted in the military? Please Supply all info.
Recruiters Name
Enlistment Date
Entry Date
Discharge Date

Cadet Misc/Other

Is your Cadet volunteering or have other placement? Please Supply all information.
Select Status
Start Date
End Date

Contacts Between Cadet & Mentor

Date
Type

Date
Type

Date
Type

Date
Type

This field is for validation purposes and should be left unchanged.

Post Residential Report

This report discusses the progress, or lack of progress the Cadet is making or has made.

Mentor Contact Form

Contact requirements: 4 contacts, 4 hours of contact or combination or both.

Other contacts can also be made through other forms of communication: telephone, mail,  email, Internet and even text messaging can be counted as a contact.