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Attachment 13
Community Engagement
SelfAssessment2692019 Holyoke Medical Center CHNAMassachusetts Department of Public Health
Determination of Need
Community Health Initiative
CHINA / CHIP Self AssessmentVersion:8
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01
To fill out attachment 13 community engagement point by point, follow these steps:
02
Start by carefully reviewing the instructions provided on the form.
03
Begin filling out the basic information section, which includes your name, contact details, and any relevant identification numbers.
04
Move on to the community engagement section. Here, you will need to describe the specific activities, events, or initiatives that you have participated in to engage with the community.
05
Provide details about the dates, durations, and locations of these community engagement activities.
06
Explain the impact and outcomes of your engagement efforts, highlighting any positive changes or improvements that have resulted from your involvement.
07
If applicable, include any supporting documents or evidence to validate your claims about community engagement.
08
Once you have completed all the required sections, carefully review the form for any errors or omissions.
09
Sign and date the attachment 13 community engagement form.
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Submit the filled-out form to the appropriate authority or organization as per their instructions. Make sure to keep a copy for your records.
Who needs attachment 13 community engagement?
01
Attachment 13 community engagement is typically required by individuals or organizations that are seeking to demonstrate their involvement and commitment to community engagement.
02
This may include professionals applying for certain licenses or certifications, students applying for scholarships or grants, non-profit organizations applying for funding, or businesses seeking to show their social responsibility and community impact.
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What is attachment 13 community engagement?
Attachment 13 community engagement is a form or document that outlines the details of how a community engagement was carried out.
Who is required to file attachment 13 community engagement?
All organizations or individuals who have conducted community engagement activities are required to file attachment 13.
How to fill out attachment 13 community engagement?
Attachment 13 community engagement must be filled out by providing detailed information about the community engagement activities conducted.
What is the purpose of attachment 13 community engagement?
The purpose of attachment 13 community engagement is to provide transparency and accountability regarding community engagement efforts.
What information must be reported on attachment 13 community engagement?
Information such as date, location, participants, objectives, and outcomes of the community engagement activities must be reported on attachment 13.
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