Community Partnerships and Resources Assessment Student Name:_________________________________

Partnership Template

Date and Time of Interview

Who is your liaison? (Name, title, credentials, etc.)

Describe the role they are in currently and how long they have functioned in this role/job?

What responsibilities do they have in this role/job?

Describe what a typical work day looks like for them?

What is the most rewarding aspect of their role/job?

What is the hardest aspect of their role/job?

Describe the interprofessional collaboration your liaison utilizes in this role/job.

Describe the community resources your liaison utilizes in this role/job.

Describe in detail how your liaison has directly assisted you in your project.

Research and find 3 potential community resources available that this organization could benefit from partnering with.

Community Resource #1

Name: (community resource name here)

Provide a
summary (in your own words) of the mission of this community resource. (50-100 words)

Provide a
summary
(in your own words) of the resources this community resource provides. (50-100 words)

Describe how the partnership process would work between this community resource and your site. Delineate roles and functions of the individuals that would be involved in this partnership, and what would be the outcome. (who, what, when, where, and why) (150-200 words)

Active link to website

Community Resource #2

Name: (community resource name here)

Provide a
summary (in your own words) of the mission of this organization. (50-100 words)

Provide a
summary
(in your own words) of the resources this organization provides. (50-100 words)

Describe how the partnership process would work between this community resource and your site. Delineate roles and functions of the individuals that would be involved in this partnership, and what would be the outcome. (who, what, when, where, and why) (150-200 words)

Active link to website

Community Resource #3

Name: (community resource name here)

Provide a
summary (in your own words) of the mission of this organization. (50-100 words)

Provide a
summary
(in your own words) of the resources this organization provides. (50-100 words)

Describe how the partnership process would work between this community resource and your site. Delineate roles and functions of the individuals that would be involved in this partnership, and what would be the outcome. (who, what, when, where, and why) (150-200 words)

Active link to website