1. Partnership Recruitment
ORGANIZATIONAL SECTOR ("X" in sector; can X more than one box)
ENGAGE
LEVEL
POTENTIAL ENGAGEMENT METHOD FOR CHA/CHIP
Organization or Audience/Population
Key contact
Role/
Title
Business
Hospital/Health care
Commty Orgs
Gov’t
Youth
Funder/Fdtns
Housing
School/Univ
Faith
Focus on priority populations (Latino, homeless, youth)
Already engaged in another initiative via interviews, focus groups, or other?
Priority level (1,2,3)
KII
Focus group
Survey
Event/Mtgs
CHIP work