eData Entry Forms
The forms below may be used to collect information for data entry into the eData system. Contact eData Tech Support with any questions about how to complete these forms at 1-877-857-8869 or eDataTechSupport@psu.edu.
NOTE: If your agency collects additional information at intake and creates a custom form for data collection, it is required that all data collected in the forms below must be included in your locally created data collection forms, including the statement regarding F-1 Visas on page 1 and the consent paragraph on page 3 of the Adult Intake form.
Program Year 2022-23 eData Entry Forms
Fillable PDF Forms (Recommended) UPDATED FOR PY 22-23
These forms can be typed in, printed, and saved. Using these forms reduces data-entry errors due to illegible handwriting.
- Adult Maintenance Intake/Exit Fillable PDF
- Adult Assessment Fillable PDF
- Class Maintenance Fillable PDF
- Group Maintenance Fillable PDF
- Pair Maintenance Fillable PDF
- Staff Maintenance Intake/Exit Fillable PDF
- Adult Student Postsecondary Enrollment Certification Form Fillable PDF
Family Literacy Forms
- Adult Intake Family Literacy Details Fillable PDF
- Child Maintenance Fillable PDF
- Family Maintenance Fillable PDF
- Assessment Scoring Sheet for PALS Pre-K PPVT Fillable PDF
- Family Literacy End of the Year School Report Fillable PDF
PDF Forms UPDATED FOR PY 22-23
These PDF forms can be printed out and filled out by hand.
- Adult Maintenance Intake/Exit
- Adult Assessment
- Class Maintenance
- Group Maintenance
- Pair Maintenance
- Staff Maintenance Intake/Exit
Family Literacy Forms
- Adult Intake Family Literacy Details
- Child Maintenance
- Family Maintenance Intake/Exit
- Assessment Scoring Sheet for PALS Pre-K PPVT
- Family Literacy End of Year School Report
Directions for Using the Fillable Forms:
- Download the most current version of Adobe Reader.
- Click on the form to open it in a new tab.
- Save the file to your computer.
- Open the file from your computer to begin typing in the form.
- Save the file to your computer.
Tips for Using the Fillable Forms
- Date – Type in the date using MM/DD/YYYY format or use the calendar drop down feature to enter the date.
- Signature – Watch this short video (1:30 min) to see how to have the learner sign the Adult Maintenance Intake/Exit Form.
Get the free download of Adobe Acrobat Reader