Will the above health center(s) be interested in receiving training and technical assistance from the SC Campaign to improve the provision of high quality teen friendly reproductive health services? Yes No Describe the process your agency/community will use to refer youth to teen friendly reproductive health services. Anticipated number of youth referred for reproductive health services. Section 3: Additional Information Capacity A. What are the title and responsibilities of each staff person needed to implement the selected activities with fidelity and quality? Please indicate which required and/or encouraged activities each staff person will oversee. Will you need to hire additional staff? How will they be selected? What qualifications will they need to have (e.g., minimum education needed; years of experience)? What training/professional development/technical assistance do you anticipate staff will need in order to implement each activity with high quality? Please note, the SC Campaign will also be able to provide training and technical assistance to community partners identified in this application. Training and technical assistance will be provided based on requests by the grantee and needs identified by the SC Campaign. Does your organization commit to fully participating in trainings, meetings and technical assistance as required? Yes No Do you currently have a system in place to: Document staff work-time (i.e. timesheets)? Yes No Track staff expenses and reimbursements (i.e. filing of receipts, reimbursement request forms, etc)? Yes No
Will the above health center(s) be interested in receiving training and technical assistance from the SC Campaign to improve the provision of high quality teen friendly reproductive health services? Yes No Describe the process your agency/community will use to refer youth to teen friendly reproductive health services. Anticipated number of youth referred for reproductive health services. Section 3: Additional Information Capacity A. What are the title and responsibilities of each staff person needed to implement the selected activities with fidelity and quality? Please indicate which required and/or encouraged activities each staff person will oversee. Will you need to hire additional staff? How will they be selected? What qualifications will they need to have (e.g., minimum education needed; years of experience)? What training/professional development/technical assistance do you anticipate staff will need in order to implement each activity with high quality? Please note, the SC Campaign will also be able to provide training and technical assistance to community partners identified in this application. Training and technical assistance will be provided based on requests by the grantee and needs identified by the SC Campaign. Does your organization commit to fully participating in trainings, meetings and technical assistance as required? Yes No Do you currently have a system in place to: Document staff work-time (i.e. timesheets)? Yes No Track staff expenses and reimbursements (i.e. filing of receipts, reimbursement request forms, etc)? Yes No