Maine CITE Coordinating Center – Reporting Forms

Maine CITE Coordinating Center logoThese Partner Reporting Forms are provided in Microsoft (MS) Word format. Each form is designed to be downloaded onto your computer and may completed using a word processor on your own computer or printed out and completed by hand.

Training Forms

File 1: AT and AEM Training Presenter Form (cover sheet) rev 02/2018
[PDF File 1 – Print Only Version] There is no Word version of this form.

File 2: AT and AEM Training Participant Evaluation Form
This form is on-line for webinars

Information and Assistance

File 4: Information and Assistance (I&A) Form (rev 11/2020)
[Word Version – File 4] 

File 5: Public Awareness Report Form (rev 1/13)
[Word Version – File 5] 

Device Demonstration (rev. 8/2018)

File 6: Device Demonstration Form
[Word Version – File 6]

Device Loan (rev. 8/2018)

File 7: Device Loan Form
[Word Version – File 7]

Technical Assistance (rev. 1/13)

File 8: Technical Assistance Reporting Form
[Word Version – File 8] 

AT Device Reuse-Reassignment (rev 8/2018)

File 11: AT Device Reassignment Form
[Word Version – File 11]

rev: 05/28/2020