ATI-Provided Forms

To complete a form, please follow the directions in Agency, Center, Class, Child, Family, Reports, Staff, Volunteer pages' to name a few.

ATI-Provided Forms

The following forms are provided to Galileo Plus (Merlin) users by Assessment Technology Incorporated:

Agency and Center Forms

1.         PIR-Agency Information

2.         PIR-Center Information

Child Forms

1.         Merlin Child Application and Enrollment

2.         Merlin Child Immunization Services

3.         Merlin Child Medication Administration

4.         Merlin Disability Services and IEP/IFSP

5.         Merlin EHS (Infant) Nutrition Services (If Early Head Start program)

6.         Merlin EHS Health Services (if Early Head Start program)

7.         Merlin Emergency Care & Safety Services

8.         Merlin Head Start Nutrition Services

9.         Merlin Health/Developmental Services

10.    Merlin Mental Health Service Tracking

11.    Merlin Record of Illness

12.    PIR-Child Information

Class Forms

1.         PIR-Class Information

Family and Family Member Forms

1.         Family

a.  Merlin Family Needs, Goals & Treatment

b.  Merlin Family Partnership Agreement

2.         PIR-Family Information

a.  Family Member

b.  Merlin Pregnant Woman Services

PIR-Pregnant Woman

1.         PIR Forms

2.         PIR-Agency Information

3.         PIR-Center Information

4.         PIR-Child Information

5.         PIR-Class Information

6.         PIR-Family Information

7.         PIR-Pregnant Woman Information (EHS programs only)

8.         PIR-Staff Information

9.         PIR-Volunteer Information

Staff Forms

1.         Merlin Child Transport Staff Form

2.         Merlin Staff Development Services

3.         Merlin Staff Employment Application

4.         Merlin Staff Performance Evaluation

5.         PIR-Staff Information

Volunteer Forms

1.         Merlin In-Kind Services

2.         PIR-Volunteer Information

Calculated Forms

A Calculated Form is not completed by a user but rather it is a form that retrieves specific data from existing forms. 

1.         EHS PIR Report (Output)

2.         HS PIR Report (Output)

3.         Merlin PIR Audit—Age/Eligibility/Prior Enroll

4.         Merlin PIR Audit – Family Services

5.         Merlin Waitlist Report with Eligibility Variables

Agency Forms

The program/agency might have custom forms that should be utilized in addition and/or in place of the ATI-provided forms. Please consult with your Galileo Administrator for what forms should be completed.

 

 

Last Updated: 11.17.17