HIV Prevention Projects Portal: Forms

INSTRUCTIONS:
1. Click on the form’s link.
2. “Save” or “Save As” to your computer.

NOTE:
- The forms cannot be edited or altered. Text or numbers within boxes can be copied, cut and pasted.
- Templates can be edited and altered.
- Formatted text, such as bullet or numbered lists, can be created in another document, copied and pasted into the form box.
- All forms are in MicroSoft Word 1997-2003 format unless otherwise noted.
- "Locked" documents can be used as is. The check boxes and text boxes are functional. The form cannot be edited or altered.
- "Unlocked" documents can be edited, altered, copied and pasted as you wish.

3. When your form is ready to submit, go to the Form Upload Box.

When is it due?
A printable list of due dates for all required documents for 2013 – 2016.
Document Due Dates (29KB/1 page)
six month progress reports invoice  
 

Track 1 Progress Report (MS Word: 281KB/7 pages)

Track 2 Progress Report (MS Word: 173KB/7 pages)

Track 3 Progress Report (MS Word: 193KB/6 pages)

Track 4 Progress Report (MS Word: 87KB/3 pages)

 

Invoice Form
(Excel: 38KB/1 page)

Direct Deposit Information

 
testing data collection tools

 

Client Consent - Template
(51KB/2 pages)

Health Information Release - Template
(38 KB/1 page)

EvaluationWeb HIV Test Form

HIV and HCV Testing Protocol
(41 KB/1 page)

OSHA BBP Exposure Control
(66 KB/1 page)

Hennepin HSPHD ROI Form (Optional template)
(PDF: 112 KB/2 pages)

Ramsey PH ROI Form (Optional template)
(780 KB/1 page)

MDH Risk Assessment (Optional template)

 

Condom Distribution Data Tool

Condom Distribution Data Tool (Unlocked)
(69KB/1 page)

Condom Distribution Data Tool (Locked)
(69KB/1 page)

Condom Distribution Data Tool Spreadsheet
(75KB/Excel)

Testing Outreach Data Tool

Outreach Data Tool (Unlocked)
(75KB/2 pages)

Outreach Data Tool (Locked)
(75KB/2 pages)

Outreach Data Tool Spreadsheet
(75KB/Excel)

Prevention With Positives Data Tools

PwP Client Level Demographic-Risk Info - Locked
(119KB/2 pages)

PwP Client Level Demographic-Risk Info - Unlocked
(119KB/2 pages)

PwP Client Level Intervention-Session Info - Locked
(69KB/2 pages)

PwP Client Level Intervention-Session Info - Unlocked
(69KB/2 pages)

PwP Client Level Link-Engage-PrEP - Locked
(44KB/1 page)

PwP Client Level Link-Engage-PrEP - Unlocked
(45KB/1 page)

PwP Monthly Aggregate Data Collection Tool - Locked
(101KB/2 pages)

PwP Monthly Aggregate Data Collection Tool - Unlocked
(101KB/2 pages)

PwP Monthly Aggregate Data Collection Tool.xls
(53KB/Excel)

materials review
 

AIDS Materials Review Form A
(37 KB/2 pages)

AIDS Materials Review Procedure

miscellaneous
 

(Due 1/30/2013)

Web Page Content Notice
(34 KB/1 page)

Quality Assurance Plan Components
(27KB/1 page)

Incentives Policy Components
(30KB/1 page)

project work plans budget plan
 

Track 1 Project Work Plan (MS Word: 51KB/5 pages)

Track 2 Project Work Plan (MS Word: 45KB/7 pages)

Track 3 Project Work Plan (MS Word: 48KB/5 pages)

Track 4 Project Work Plan (MS Word: 34KB/4 pages)

 

Budget Plan Instructions 2014 (MS Word: 35KB/5 pages)

Budget Narrative 2014 (MS Word: 25KB/1 page)

Budget Plan 2014 (Excel: 28KB)

Administrative/In-Direct Cost Allocation
(43KB/2 pages)

Updated Wednesday, 12-Feb-2014 09:13:08 CST