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PMB 212, 1910 E. 4th Avenue
Olympia, WA 98506-4632
Phone: 360.493.5762
1 888.202.3600
Fax: 360-493-5688
e-mail: cja@crhn.org

   
 

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Project Access Program Director’s Survey

Your Name
Title:
Your Volunteer Program Name:
 Administrative Agency Name:
Address:
City, State / Zip ,  
Phone: (123) 456-7890

Fax:

Your Email:

1) Please declare and explain your goals for attending a regular conference call event? What benefits do you expect to get from regular conversations with other agency staff and directors?
 

2) What are 5 or more topic areas that you and your agency are most interested in discussing? For each topic area, please provide at least one question that you would want the discussion to answer.

Example:
Topic 1: Return on Community Investment measures in relation to hospital savings
Question 1: “How are other programs calculating the cost of their program administration and comparing that measure to the savings being generated through appropriate hospital ER and preventable hospital IP utilization?”

 

3) What specific aspects, modules, and components of your volunteer program have been exciting to you?
 

4) What specific documents, policies, and resources would you like examples of?
 

5) What program contractor services have been of interest to you? Would you value conference calls that allow contractors time to present their products to your agency, and to receive feedback and questions on their products? Please state what contractor products you most interested in: (examples: MIS systems, Evaluation programs, Strategic planning events, etc)
 

6) What do you feel is a reasonable cost that your agency can afford to pay per call for this communication service?
$

7) Would you like to be contacted to help facilitate, present, and/ or coordinate these conversations?
YES
NO

8) Is there any other information or feedback that you would like share that would be helpful in the development of this communication structure?


 

 

 

 

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