Attachment C - Partnership Form~1.docx

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Attached to
Grant Application for Immigrant/Refugee Student Success Plan
Solicitation number
S-58100-00012407
Issued by
Oregon

About this file

This is a Partnership Form (Attachment C) for the Student Success Plan (SSP) Grant RFA S-58100-00012407 issued by the Oregon Department of Education (ODE). The form is required documentation for partnerships between school districts (Lead Applicants) and partner organizations, which must be submitted along with the completed grant application by the due date. The form requires details about the roles, activities, services, and deliverables the partner will provide, as well as their specific strengths and expertise that contribute to the project.

The form requires documentation of accountability structures between partners, such as contracts, verbal agreements, MOUs, or letters of support. Both the authorized agent of the partner organization and the lead applicant must sign the form to confirm participation in the SSP partnership. Upon award, grantees may be required to provide additional documentation of these partnership arrangements.

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RFA S-58100-00012407 –ODE IR SSP RFA 2024-25 Attachment C

Attachment C Student Success Plan (SSP) Grant Partnership Form

This form must be completed for each partner named in an application to the SSP Grant. Forms must be submitted with the completed application before the due date. The purpose of this form is to demonstrate that the Partner is aware of and committed to the partnership for the purposes of fulfilling the Applicant’s project plan as part of this SSP Grant.

Lead Applicant (District) Name

Partner Organization Name

Describe the roles, activities, services, and/or deliverables the partner will provide for the grant Project.

What strengths or expertise does the partner named above contribute to the Project?

Describe the structures in place to ensure accountability among the Project partners (e.g., contract, verbal agreement, Memorandum of Understanding (MOU), letters of support from your Project partners, etc.). Note: if awarded, grantees may be asked to provide relevant documentation.

I confirm my organization’s participation in the SSP partnership named above for the purposes of fulfilling the Applicant’s Project Plan as part of the SSP Grant:

Name and Title of Authorized Agent of Partner: ______________________________________________________

Name and Title of Authorized Agent of Lead Applicant: ______________________________________________

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