Data Collection Tools
  • State Level Forms
  • Student Level Forms

Director & Coordinator Survey

Director/Coordinator Survey

  1. You MUST have Adobe Reader version XI to use this electronic form. Adobe Reader XI can be dowloaded from Adobe, free of charge.


State OSY Profile Form

State OSY Data Profile-word doc

Data Collection Checklist

Goal Setting/Learning Plan Reporting Form

State OSY Data Profile- Fillable PDF

OSY Data Collection Form- Excel

States are asked to submit data by October 1, 2017, from their use of the OSY Student Profile. In the past, all states were asked to complete the State OSY Data Profile form in Word format.  In an effort to simplify the process of calculating data and percentages, an Excel spreadsheet has been provided.  You can transfer the numbers you have collected on the State OSY Data Profile Form and simply enter them into the Excel form. You will need to enter your aggregate numbers into Columns B, F, J and N, and they will be automatically converted into percentages. 

Please email your report to SusannaBartee@gmail.com not later than October 1, 2017.

OSY Training and Technical Assistance Evaluation Form

The OSY Training and Technical Assistance Evaluation Form should be used to evaluate all OSY-related training provided to MEP staff in your state. There are two options for submitting the form:

  1. Click here for the fillable PDF format. Evaluations may be email directly to Marty Jacobson at marty@meta1.us or printed and mailed to META Associates, 518 Old Santa Fe Trail, Suite 1-208, Santa Fe, NM 87505.
  2. Click here for the online survey that sends results directly to Marty Jacobson.


Student OSY Profile

Each state participating in the GOSOSY project is required to complete the OSY Student Profile sheet on as many OSY students as possible. The minimum data elements are contained on the OSY Student Profile but states are free to add additional data elements if desired. This form, in English and Spanish, can be adapted by the State MEP.  The OSY Student Profile sheet is used to gather essential data at both the individual student and state levels.  At the individual level, the OSY Student Profile is the starting point for planning the services that best match the needs and availability of each youth identified.  At the state level, the OSY Student Profile helps gather information about the OSY population in the state aiding in the planning and implementation of programs and allocation. 

Student Profile Instructions  
Student Profile-English Fillable PDF Student Profile-Spanish Fillable PDF
Student Profile-English Word Student Profile-Spanish Word
The forms below can be filled out online and printed by you for your convenience.


Student Services Plan PDF

Student Services Plan Word

The GOSOSY Student Services Plan is an optional form developed as a resource for states. The GOSOSY Student Services Plan may be used by states to help identify goals and resources to support OSY and plan for service delivery. The form can be adapted as needed by State MEP.

Student Evaluation of Services English

Student Evaluation of Services Spanish


Tracking Form

GOSOSY Tracking Form Word

GOSOSY Tracking Form Fillable PDF  

The GOSOSY Tracking Form is an optional form designed for data collection efforts in Consortium states.


Goal Setting/ Student Learning Plans

Reporting Form