Please select the reporting period
Beginning – 12/31/2013 |
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1/1/2014 – 3/31/2014 |
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4/1/2014-6/30/2014 |
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7/1/2014-8/31/2014 |
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Table 1: Recruitment information
Recruitment Information |
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Location |
Client Recruitment attempts |
Source of attempts |
Method(s) of recruitment |
Number of new enrollments |
Understood reason(s) for unsuccessful attempts |
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Please select the reporting period
Beginning – 12/31/2013 |
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1/1/2014 – 3/31/2014 |
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4/1/2014-6/30/2014 |
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7/1/2014-8/31/2014 |
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Table 2: Resources Required
Resources Required |
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Location |
Total hours spent by CHWs on programs? |
Were any additional resources used? |
Financial (free text) |
Equipment (free text) |
Volunteer work (free text) |
Other (explain) |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Sharanjit Toor |
| File Modified | 0000-00-00 |
| File Created | 2021-01-27 |