1. Program Name Program Staff
Describe the Tribe(s)/community(ies) served by grant(s)/program(s)/service(s), including size of the community, demographics of the population, and/or unique or notable aspects of the community.
Highlight any successes or best practices that the program has generated or used, provide examples of activities that were successful, and/or describe community/programmatic improvement that was generated due to a program success or activity.
Describe the program, including its history, funding source, location, typical and/or past activities, location, number of staff, contact information, and other details.
Summarize any program data that you feel comfortable or willing to share.
Describe your program’s current data collection and management practices.
Describe your program’s current data sharing practices (if any).
Describe any data needs or interests.
Program goal/objective 1
Program goal/objective 2
Program goal/objective 3
Describe any major barriers or challenges to the program’s success that have been experienced, provide example activity(ies) where challenges were experienced, and describe any potential or tried solutions.
Highlight any challenges specific to data (sharing, collection, management).
Describe existing partnerships or collaborative activities (within community/tribe or with external partners)… who are they with? How did they form? What have been the benefits? What have been the challenges?
Describe any needs for technical assistance, training, or other support.
Describe any areas of interest for additional partnerships/collaboration.
Describe any data needs/interests.
Describe any plans for project improvements or enhancements, next steps.