Form D—Partnerships Description Page

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Applicant Agency Name:

If you are partnering with other external groups on this proposal, please complete this form and submit a signed letter of commitment for each partner organization listed.

#	Partner Organization Name	Length (years) of relationship with application organization	Partner's area of expertise	Role/responsibility in the planning and implementation of this project	Description of resources (financial and in-kind) to be committed to this project
1.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
2.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
3.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
4.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
5.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
6.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
7.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
8.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
9.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:
10.	Name of partner organization:	Length of relationship with partner organization:	Partner's area of expertise:	Partner's role/responsibility:	Description of resources:

This page last updated on: March 12, 2009

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