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2022 Comprehensive Community Needs Assessment
Partner Form and Memorandum of Understanding
This Memorandum of Understanding (MOU) describes the responsibilities and expectations between the East Texas Human Needs Network and the Partner Agency regarding the 2019 Comprehensive Community Needs Assessment.
RESPONSIBILITIES AND EXPECTATIONS
East Texas Human Needs Network (ETHNN) agrees to:
Design, implement, analyze, and publish the ETHNN Comprehensive Community Needs Assessment.
Provide required Interviewer training in
Interviewing Skills and Ethical Guidelines
.
Provide a detailed "filtered" data report to meet the needs of your organization as requested.
Partner Agency (PA) agrees to:
Appoint a staff member as a
CC
NA
Liaison
to be the single point of contact between your organization and ETHNN.
Assign staff or volunteers to conduct interviews, ensuring he/she goes through the required training. Please request a ETHNN volunteer if staff are not available.
Provide trained interviewer(s) access to clients.
Client participation is voluntary. Data is anonymous and confidential.
Review the results of the assessment and provide input for data analysis as it relates to your field of expertise.
TIME PERIOD
The CCNA will be administered during the Summer of 2022.
TERMINATION
The ETHNN and the PA may terminate this Agreement, with or without cause, with a seven (7) day written notice of termination.
This form provides organizational information including the name and contact information of the CCNA Liaison.
*
Indicates required field
What is the name of your organization?
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Choose One
*
Nonprofit
Congregation
Government
Other
If "Other", please explain
*
Is the Organization a 501c3?
*
Yes
No
Executive Director / CEO's Name
*
First
Last
Executive Director / CEO's Email
*
CCNA Liaison
*
First
Last
The CCNA Liaison will be the single point of contact between ETHNN and your organization as it relates to the Comprehensive Community Needs Assessment.
Title
*
Email
*
Phone Number
*
Website
*
Upload your Logo
*
Max file size: 20MB
Signatures of authorized representatives
Partner Agency Authorized Representative
*
First
Last
[object Object]
Title
*
By submitting this form you are agreeing to the terms laid out in this document.
Jackie Clay, CEO
East Texas Human Needs Network
PO Box 7042
Tyler, TX 75711
903.216.3211
Submit
HOME
ABOUT US
We are listening!
Meetings
>
Meeting Notes
COLLECTIVE ACTION
UNDERSTANDING POVERTY
Poverty Simulation
>
Volunteer Page
903HELP
CALENDAR
ECONOMIC WELLBEING
DONATE
TAKE THE STEP