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Fill this in **Enhancing Referral Follow-Through for Veterans in Outpatient Mental Health Care** **files (1)** – ## ProjectProposalWorksheetFillable28129.pdf **## ProjectProposalWorksheetFillable28129.pdf** Project Proposal Worksheet Student Name: _______________________ Date:…
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**Enhancing Referral Follow-Through for Veterans in Outpatient Mental Health Care**
**files (1)**
– ## ProjectProposalWorksheetFillable28129.pdf
**## ProjectProposalWorksheetFillable28129.pdf**
Project Proposal Worksheet
Student Name: _______________________
Date: ________________
Proposed Project Title: _______________________________
1. Setting Description
a. Name of Organization/Educational Site: _____________________________
b. Type of Setting: __________________________
c. Brief Description of the Setting (Include population served, services provided, and
organizational structure):
2. Practice Problem
a. What practice problem does your project address?
b. How is this problem observable or measurable in the proposed setting?
c. What is the purpose of the proposed project?
3. Proposed Intervention
a. What is the intervention that will be implemented?
4. Evaluative Measures
a. What measures will be utilized to evaluate the project?
5. Project Data and Collection Approach
a. What data will need to be collected for the measures? How? By whom?
6. Data Security Plan
a. Provide an overview of your data security plan. Where will it be kept, how long?
7. Project Preparation
a. What do you need to do to complete your project design?
– Project Proposal Worksheet
– 1. Setting Description
– 2. Practice Problem
– 4. Evaluative Measures
– 6. Data Security Plan
– 7. Project Preparation
01. Student Name:
02. Date:
03. Proposed ProjectTitle:
04. Name of OrganizationEducational Site:
05. b Type of Setting:
06. Text1:
07. Text2:
08. Text3:
09. Text4:
10. Text5:
11. Text6:
12. Text7:
13. Text8:
14. Text9:
**## ProjectProposalWorksheetFillable28129.pdf**
Project Proposal Worksheet
Student Name: _______________________
Date: ________________
Proposed Project Title: _______________________________
1. Setting Description
a. Name of Organization/Educational Site: _____________________________
b. Type of Setting: __________________________
c. Brief Description of the Setting (Include population served, services provided, and
organizational structure):
2. Practice Problem
a. What practice problem does your project address?
b. How is this problem observable or measurable in the proposed setting?
c. What is the purpose of the proposed project?
3. Proposed Intervention
a. What is the intervention that will be implemented?
4. Evaluative Measures
a. What measures will be utilized to evaluate the project?
5. Project Data and Collection Approach
a. What data will need to be collected for the measures? How? By whom?
6. Data Security Plan
a. Provide an overview of your data security plan. Where will it be kept, how long?
7. Project Preparation
a. What do you need to do to complete your project design?
– Project Proposal Worksheet
– 1. Setting Description
– 2. Practice Problem
– 4. Evaluative Measures
– 6. Data Security Plan
– 7. Project Preparation
01. Student Name:
02. Date:
03. Proposed ProjectTitle:
04. Name of OrganizationEducational Site:
05. b Type of Setting:
06. Text1:
07. Text2:
08. Text3:
09. Text4:
10. Text5:
11. Text6:
12. Text7:
13. Text8:
14. Text9:
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