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Partner Form and Memorandum of Understanding
WELCOME - We're excited that you are considering becoming a 903Help Partner.
903HELP.org Partner Form
Indicates required field
What is the name of your organization?
If "Other", please explain
Is the Organization a 501c3?
What is your EIN?
Executive Director / CEO's Name
Executive Director / CEO's Email
What is your organization's mission?
National Taxonomy for Exempt Entities
A - Arts, Culture, & Humanities
B - Education
D - Animal related
E - Health Care
F - Mental Health & Crisis Intervention
G - Voluntary Health Associations and Medical Disciplines
H - Medical Reseach
I - Crime & Legal-Related
J - Employment
K - Food, Agriculture & Nutrition
L - Housing & Shelter
M - Public Safety, Disaster Preparedness & Relief
N - Recreation & Sports
O - Youth Development
P - Human Services
Q - international & Foreign Affairs
R - Civil Rights, Social Action & Advocacy
S - Community Improvement & Capacity Building
T - Philanthropy, Volunteerism & Grantmaking Foundations
U - Science & Technology
V - Social Science
W - Public & Societal Benefit
X - Religion-Related
Y - Mutual & Membership Benefit
Z - Unknown
Please check all of the Counties you serve
Directory Liaison - Responsible for Data
The Directory Liaison is responsible for data entry, ensuring accuracy, and attending quarterly Liaison meetings.
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903HELP.org 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 903Help.org online Service Directory.
Partner Agency Name
RESPONSIBILITIES AND EXPECTATIONS
East Texas Human Needs Network (ETHNN) agrees to:
Contract with and pay Simon Solutions for the publishing of the 903HELP.org online Social Services Directory.
Maintain the online Social Services Directory.
Provide training and support to Partner Agency staff.
Partner Agency (PA) agrees to:
Appoint a staff member as a
to work directly with ETHNN staff.
Ensure Directory Liaison submits Agency, Program, and Services information online.
Ensure Directory Liaison logs in on the first of every month and makes updates as needed.
Ensure Directory Liaison participates in scheduled Directory Liaison meetings.
The ETHNN and the PA may terminate this Agreement, with or without cause, with a seven (7) day written notice of termination. Such notice shall be given in writing to the other party and shall be sent to the address below via certified or registered mail with return receipt. At that time, all PA information on the Service Directory will be deleted.
Signatures of authorized representatives
Partner Agency Executive Director/CEO Name
By submitting this form, I affirm that our organization supports the
mission of ETHNN
and meets the
903HELP Inclusion Criteria.
Click the SUBMIT button below.
East Texas Human Needs Network
ETHNN I PO Box 7042, Tyler, TX 75711 I 903.216.3211
We are listening!