17.6 "Partnership" Evaluation

1.   TYPE:_______ Partnership Agreement _______Partnership Activity

2.   [USDA] REGION/DISTRICT:        ______________________________________________

3.   STATE/OTHER PARTNER:           ______________________________________________

4.   PARTNERSHIP SUMMARY:         ______________________________________________

5.   INCLUSIVE DATES:  ____________      TO     ____________

6.   RESOURCES:        __________________________________________________________

7.   OUTPUTS:

 

 

8.   OUTCOMES:

 

 

9.   EVALUATION OF PARTNERSHIP AGREEMENT:______ ANNUAL ______ FINAL

10.  RENEW PARTNERSHIP:  _______ YES  _______ NO

11.  NEW DATES:  __________________     TO     __________________

12.  SIGNATURE: _______________________________  DATE: __________                 
                                 Please type name and sign