Nassau County Youth Board

                                     forms down load site

To get to the Nassau County Youth Boards Official Web Site click on this link

 

Effective April 18, 2005, the Nassau County Youth Board has been re-located to:

60 Charles Lindbergh Blvd. Click to view map

Uniondale, New York 11553

Main Telephone Number - (516) 227-7134

Fax Number (516) 227-7107

 

Nassau County Youth Board mourns the passing of our former Executive Director....Humanitarian and Friend

Ann Marsden Irvin

September 11, 1934 – April 18, 2008

(click above to view reflections of Ann)

 

You may download the forms below by:

Left click on the file name.

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or

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Celebrating 42 Years of Services to Youth and Families

 

(click on link above) Adobe Acrobat File (PDF)

 

Act Website Description

 

(click on link above) Adobe Acrobat File (PDF)

 

 

Community Service Learning Application with United Way

 

(click on link above) Adobe Acrobat File (PDF)

 

 

 

 

 

 

 

 

 

 

Youth, Violence and Gang Prevention:

 

(click on link above) Adobe Acrobat File (PDF)

 

 

 

YAPP Brochure:

(click on link above) Adobe Acrobat File (PDF)

Microsoft Word Documents (DOC) Adobe Acrobat Files (PDF)
Chart for Referral Tree Prevention & Post Institutional Project Brochure
   
Equipment Purchase Request Form Equipment Purchase Request Form
Equipment Disposal Approval Form Equipment Disposal Approval Form
Request for Program Transportation/Conference Form Request for Program Transportation/Conference Form
Contract Personal Change Form Contract Personal Change Form
Consultant Agreement Form Consultant Agreement Form
Request for Budget Amendment Request for Budget Amendment
Office of Contract Mgmt Required Admin Submission 2008 Office of Contract Mgmt Required Admin Submission 2008
RHY-Contract Personnel Change Form RHY-Contract Personnel Change Form
Holiday Schedule Holiday Schedule
Staff Schedule Staff Schedule
Program Schedule Program Schedule
2008 Statistical/Narrative Quarterly Report 2008 Statistical/Narrative Quarterly Report
2008 Quarterly Report Community Education Related to Bullying 2008 Quarterly Report Community Education Related to Bullying
2008 Quarterly Report VIPP Cat.I - Cat. II 2008 Quarterly Report VIPP Cat.I - Cat. II
TAG Referral Form TAG Referral Form
2008 Quarterly Report Community Collaborations 2008 Quarterly Report Community Collaborations
Required Administrative Submissions For 2008 Required Administrative Submissions For 2008
State Aid Voucher State Aid Voucher
PIP Forms (PDF Format)
Quarterly Report
Intake Form
Termination Form
Prevention & Post Institutional Project Brochure
Runaway/ Homeless Youth Monthly SAC Report This form can be printed or filled out online and sent back to this office.
Monthly Compendium of Potential Resources Foundation/Grant Information (PDF)
OCFS - Fiscal Forms
Microsoft Word Documents (DOC) Adobe Acrobat Files (PDF)
Individual Program Application to be used by the Municipalities Individual Program Application to be used by the Municipalities&CBO's
Program Budget (Appendix B) to be used by the Municipalities Program Budget (Appendix B) to be used by the Municipalities
Program Expenditure Summary to be used by the Municipalities Program Expenditure Summary to be used by the Municipalities
Program Expenditure Report-Salaries Program Expenditure Report-Salaries
Program Expenditure Report-Fringe Benefits Program Expenditure Report-Fringe Benefits
Program Expenditure Report-Contracted Services & Stipends Program Expenditure Report-Contracted Services & Stipends
Program Expenditure Report-M&O and Facilities Repairs Program Expenditure Report-M&O and Facilities Repairs
Request For Amendment to be used by the Municipalities Request For Amendment to be used by the Municipalities
Waiver Form to be used by the  Municipalities Waiver Form to be used by the  Municipalities
2008 Three Page Budget Form (Excel file) Program Expenditure Summary
Claim Guide

Claim Guide