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LOUISIANA STATE BOARD OF NURSING 17373 PERKINS ROAD BATON ROUGE, LOUISIANA 70810 COMMUNITYBASED AGENCY REVIEW FORM Directions:I.This form is to be used only for facilities utilized in which the student
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Obtain a copy of the community-based agency review form from the appropriate department or organization.
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Who needs community-based agency review form?

01
Community-based organizations looking to receive feedback and evaluation from stakeholders.
02
Government agencies seeking to assess the effectiveness of community-based services.
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Funders or donors interested in evaluating the impact of their investments in community programs.
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The community-based agency review form is a document used to assess and review the operations, services, and compliance of community-based organizations.
Community-based agencies that receive funding or are regulated by governmental bodies are typically required to file the community-based agency review form.
To fill out the community-based agency review form, gather necessary data about the agency's programs, financials, and compliance, then complete each section of the form as required, ensuring all information is accurate and up-to-date.
The purpose of the community-based agency review form is to provide oversight, ensure compliance with regulations, and assess the effectiveness of services provided by community-based organizations.
The form typically requires information such as agency name, contact details, financial statements, service reports, compliance status, and any other pertinent operational data.
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