| DEPARTMENT: | …………………………………………………… |
| CONTACT NAME: | …………………………………………………… |
| CONTACT TELEPHONE NUMBER: | …………………………………………………… |
| CONTACT E-MAIL ADDRESS: | …………………………………………………… |
1. Title of Partnership
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2. Why does the Department have membership?
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3. What is the Department's commitment to the Partnership in terms of number and grade of staff and their time commitment?
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4. What is the Department's assessment of the effectiveness of the Partnership in furthering:
| (a) the Partnership's Objectives? |
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| (b) the Department's Objectives? |
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5. Does the Department have any suggestions for improving the effectiveness of this Partnership arrangement?
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6. General/Further Comments
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