Worksheet 6
Community Resources: Service Providers
Ways to Use this Worksheet
- Use it to document the formal resources in the community.
- Use it to develop a resource directory which is specific to your community and to assist you in determining where there are gaps and barriers to service.
Agency name:
Days and Hours of Operation:
Sites of Service Provision:
Address:
Telephone/Fax:
Mission and Purpose:
Description of Core Services Provided:
Eligibility Criteria:
Cost of services:
Summary of Client Population:
Funding sources:
Other information: