Independent Living Program - Florida's Center for Child Welfare

2009-2010 Road to Independence (18-22) Monitoring ToolProvider Name: COU Team Member: Provider City: Site Visit Date: Contract Number: Assigned COU: Service Description: Independent LivingDate of Tool Revision: 11/05/2009Review Files As Of: COMPLETE INFORMATION ON THE "PROVIDER AND SAMPLE INFO" SHEET TO POPULATE CHILD CALCULATIONS AND TOOL HEADERS.AuthorityFully Met? Fully Met? Fully Met? Fully Met? Fully Met?RequirementsSourceYouth NameYouth's BirthdateYouth's Age at Time of ReviewDate of Youth's 18th BirthdayLast Date before Youth's 21st BirthdayDate that is 90 days prior to last birthday for renewalsDid the young adult make the initial application for the award prior tohis or her 21st birthday?In addition, young adult meets full time enrollment standards at leastone of the following:Enrolled in an accredited high school or Enrolled or admitted to a postsecondary educational institution or Enrolled in an accredited adulteducational program with a goal of a high school diploma or itsequivalent?Based on the above questions, is the young adult receiving serviceseligible for RTI?Must be Yes for all questions.65C-31.004(1)(a),F.A.C.409.1451(5)(b)2.d., F.S.65C-31.004(1)(a)6.,F.A.C.409.1451(5)(b)2., F.S. and65C-31.004(1)(a)and (b), F.A.C.Initial RTI Application RequirementIs an RTI Scholarship Application completed and signed by the student, 65C-31.004(1),reviewing authority and approval authority?F.A.C.Has the young adult applied for any other grants and scholarships forwhich he or she may qualify and did the provider assist the young adultin the application process?Documentation of Education Requirements409.1451(5)(b)3., F.S.DCF Contract Oversight Page 2 of 6