THE FOLLOWING SHEETS
GO ON THE RIGHT SIDE OF YOUR
FOLDER IN THAT ORDER.
ON THESE SHEETS, LOOK FOR THE BRIEF
HIGHLIGHTED GUIDANCE TO READ.
REVIEW THE STUDENT
FOLDER CHECKLIST FOR
FULL DETAILS.
REMEMBER… wherever you
write/type the Student ID, you must
add the prefix to the ID (the ID is
always 9 digits long for
CIS documentation).
RIGHT SIDE OF FOLDER
Communities In Schools of Houston, Inc. : CIS Service Log RIGHT SIDE OF FOLDER
2020 - 2021 (Current Session)
LSC - Tomball
Student Name: SCHMO, JOSIE
Student ID: 777343567
Service Date Provider Time Code State Service Notes
0.16 103
04-Oct-19 Carpenter, Kristin 0.16 103 1009 Meeting with a student and conducting a formal
0.16 108 assessment to determine services needed.
0.16 106
04-Oct-19 Carpenter, Kristin 0.16 700 1009 Meeting with a student and conducting a formal
0.16 123 assessment to determine services needed.
0.50 129
04-Oct-19 Carpenter, Kristin 1061 Meeting with student to determine status or accept
consent form/family profile information.
04-Oct-19 Carpenter, Kristin 1009 Conducting surveys: Faculty/ Assets Inventory
(pre/post), etc.
04-Oct-19 Carpenter, Kristin 7003 Any case management activities that do not fit into
the following categories. No RTS code.
04-Oct-19 Carpenter, Kristin 1019 Meeting with student(s) and setting goals. (See 545
for Academic Goal Setting)
04-Oct-19 Carpenter, Kristin 1038 Counseling activities provided by LICENSED STAFF
members only.
Termination Reason
Date End of Semester
18-Dec-20