DATE SCHOOL / AGENCY / ORGANIZATION / HOSPITAL ADDRESS COALITION ADDRESS To Whom It May Concern: This letter is authorization for the coalition to use the SCHOOL / AGENCY / ORGANIZATION / HOSPITAL DATA for YEAR-YEAR. We understand that: These data will be used for a COUNTY needs assessment and strategic plan. De-identified data will be provided to the coalition implementing Communities That Care (CTC) and Indiana Prevention Resource Center staff only after it has been released to the school. Data will be aggregated to avoid identification of individuals. Secondary analysis of these data may be conducted for research purposes with prior approval from an institutional review board. A copy of the needs assessment and strategic plan may be provided to each SCHOOL / AGENCY / ORGANIZATION / HOSPITAL’s designated representative upon request. The report will be distributed throughout the community and state, which may include distribution by media outlets and inclusion in other public documents. The report may be used to procure grant funds. SCHOOL / AGENCY / ORGANIZATION / HOSPITAL representatives are welcome to be members of the coalition. Sincerely, _____________________________________________ SCHOOL / AGENCY / ORGANIZATION / HOSPITAL REPRESENTATIVE _____________________________________________ Community Coordinator Sample Emergency Preparedness Plan Introduction:
DATE SCHOOL / AGENCY / ORGANIZATION / HOSPITAL ADDRESS COALITION ADDRESS To Whom It May Concern: This letter is authorization for the coalition to use the SCHOOL / AGENCY / ORGANIZATION / HOSPITAL DATA for YEAR-YEAR. We understand that: These data will be used for a COUNTY needs assessment and strategic plan. De-identified data will be provided to the coalition implementing Communities That Care (CTC) and Indiana Prevention Resource Center staff only after it has been released to the school. Data will be aggregated to avoid identification of individuals. Secondary analysis of these data may be conducted for research purposes with prior approval from an institutional review board. A copy of the needs assessment and strategic plan may be provided to each SCHOOL / AGENCY / ORGANIZATION / HOSPITAL’s designated representative upon request. The report will be distributed throughout the community and state, which may include distribution by media outlets and inclusion in other public documents. The report may be used to procure grant funds. SCHOOL / AGENCY / ORGANIZATION / HOSPITAL representatives are welcome to be members of the coalition. Sincerely, _____________________________________________ SCHOOL / AGENCY / ORGANIZATION / HOSPITAL REPRESENTATIVE _____________________________________________ Community Coordinator Sample Emergency Preparedness Plan Introduction:
TA%20Resource%20Guide%202017.docx