Curriculum Development Engagement Form-effective Sept 1 2023.docx

DEPARTMENT OF CHILDREN AND FAMILIESVendor Invoice # ___________

CUR

Child Welfare Institute (CWI) Curriculum Development Engagement Form

General Information

Purpose and Scope

Curriculum Description:

Completion Timeline:

Calculated Pricing

Additional Notes:

Terms and Conditions

· Billable hours shall not exceed the agreed estimated # of hours unless discussed with a DCF/CWI contact prior. If a change is required, a detailed justification needs to be included on a new Engagement Form under the additional notes section.

· Vendor agrees to submit a billing packet, which includes the Engagement Form with a detailed invoice and other documents as negotiated by the 15th of the month following the curriculum submittal via US mail. Payments will not be made in advance by DCF.

· Failure to fully complete the curriculum by the allotted time may result in a breach to the engagement agreement and no payment shall occur.

Signatures

DCF/CWI and the above mentioned vendor agree that the information provided is accurate, that any changes to this engagement must be made by mutual agreement between both parties, and to agree to all the terms and conditions listed above.

Authorized Vendor Signature and Date

Print Name/Title

DCF/CWI Signature and Date

Print Name/Title

Engagement Form Instructions General Information:

· Vendor Name refers to the billing identity to which payment will be made out to. It may reference an Individual Trainer or an Organization for which the trainer(s) may represent.

· DCF/CWI Contact refers to DCF employee which serves as the main contact person to the Vendor in regards to this Engagement.

Purpose and Scope:

· Curriculum Title should reflect the tentative name of the training being created. Identify the Intended Audience (WHO) that would be targeted with this material, and provide a brief Curriculum Description (WHAT), to highlight the points it will cover.

· Identify the Curriculum Level of the material being created by selecting one of the following:

· Level 1 – Simple learning content, possible repurposing/modification of current learning source materials/preexisting courses, with minimal interaction and learning support materials – some handouts and power points.

· Level 2 – Creating a new course with trainer guide, handouts, workbooks, power points, interactive/participation.

· Level 3 – Course covers complex subject materials/subjects, customized, need to create a customized set of support materials, e.g. trainer guide, handouts, workbooks, case scenarios/exercises, power points, etc.

· Identify a specific date which the Curriculum is Due by (WHEN), taking into consideration the Completion Timeline.

· For the Completion Timeline (HHhhHowhoosofshjafklklfjsl;kfjsadklfjsdklfHOW), create a detailed outline of the processes making sure to take into consideration things like number of drafts needed, progress check-ins, review processes, as well as identify who may be involved in the final approval of the material before its completion.

Calculated Pricing:

· Utilize the chart below to calculate the Engagement Rate. If material created by a single source (Individual Vendor), calculations represents the Negotiated Vendor Rate.

· After identifying the rate, calculate the Estimated Engagement Fee by multiplying the rate with the Est. # of Hours.

Billing/Payment Processes:

· Provide a copy of this Engagement Form with Vendor Invoice # at the top left corner and other documents as negotiated.

· Vendor must submit all documents to DCF by the 15th of the month following this Engagement via US mail.

· Mail documents to: 600 Washington Street, 6th Floor, Boston, MA 02111 to the attention of your DCF/CWI Contact person.

· DCF will not process any payments that are missing or provide incorrect information, nor make payments in advance.

Engagement Rate Calculations Educational Level

☐ Doctorate

- D.S.W

- Ph.D.

- M.D.

- J.D.

- Other:

☐ Masters

- MSW

· LISCW

· LCSW

- M.Ed.

- Other:

☐ Bachelor’s

- BSW

- BA

- BS

- Other:

Effective September 1, 2023 1