Form 1 O&E Progress Report

The Health Center Program Application Forms

39. OE Progress_Report

Oamp;E Progress Report

OMB: 0915-0285

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Outreach and Enrollment O/E Quarterly Progress Report Mock Up DRAFT 1/28/2021


DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

OUTREACH AND ENROLLMENT SUPPLEMENTAL

FOR HRSA USE ONLY

Application Tracking Number

Grant Number

 



Grantee Information

Grantee Name, City, State:



 Application Tracking Number:


  1. Progress toward O/E Projection


Number of O/E workers who completed HHS training in previous quarter


Number of unique individuals assisted* by O/E workers in previous quarter

Cumulative total # of individuals assisted with O/E

Budget period projection of individuals to be assisted with O/E

Whole numbers only

Whole numbers only

Auto-calculate from past submissions.

Prepopulate with projection in application.

*Assisted …


2. Coordination of Efforts

How have you coordinated your O/E efforts with other health centers and with other state or local efforts?


1500 characters (1/2 page)



3. Barriers

Describe any major O/E barriers you have encountered.



1500 characters (1/2 page)



4. Key Strategies and Lessons Learned

Describe key strategies and lessons learned that have contributed to the success of your O/E efforts.



1500 characters (1/2 page)



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJ Joseph
File Modified0000-00-00
File Created2021-01-28

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