SFN 878, Crossroads Program Evaluation Form 401-01-35-10

(Revised 4/1/12 ML #3322)

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SFN 878 is an evaluation form to be completed by the Crossroads Case Manager with assistance from school personnel as needed. Evaluations must be completed for each semester that Crossroads funding is utilized, even if the client does not attend school the entire semester. It will be the Crossroads Case Manager’s responsibility to complete this form and return a completed copy to the Policy Staff no later than two weeks following the semesters end.

NOTE: This includes the summer semester.