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* 1. Please enter your information

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* 2. Please choose the group you represent:

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* 4. What Indiana county(ies) do you represent?

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* 7. What additional topics would you like to see covered in upcoming webinars?

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* 8. The CDC defines Technical Assistance as the process of providing targeted support to an organization with a development need or problem, which is typically delivered over an extended period of time.

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* 9. SAMHSA defines Technical Assistance as targeted support using a culturally relevant, evidence-based, holistic approach, customized and tailored to meet the needs and readiness levels of the communities we serve.

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* 10. DMHA defines Technical Assistance as a multi-stakeholder collaboration utilizing professional practice, ongoing needs assessment baseline data, effective information and resources for CBO application.

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* 11. When is Technical Assistance considered great? Please select all that apply.

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* 12. When does Technical Assistance often go wrong? Please select all that apply.

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* 13. The intent of Technical Assistance is to support an organization in aligning with the funder's selected model, framework, and/or process.

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* 14. Which of the following are responsibilities of TA coaches? Please select all that apply.

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* 15. Additional Comments/Feedback/Questions:

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