Fillable Resource Datasheet Resource Name Website URL Resource Categories (Institute for Intergovernmental Research)

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Resource Datasheet Resource Name Website URL Resource Categories (Institute for Intergovernmental Research)

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File type: PDF

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Resource Datasheet
Resource Name
Website URL
Resource Categories
Check all categories that apply.
Service Program
Human Resource
Criminal Justice
Infrastructure
Funder
Service Program Type (if applicable)
Check any program types that describe this resource.
Prevention
Intervention
Suppression
Agency/Organization Name
Type of Agency/Organization (choose one)
Youth-Serving Organization
Youth/Youth Group
Parent/Parent Group
Business-Manufacturing
Business-Retail
Business-Financial
Business-Service Sector
Elementary School
Secondary School
Vocational/Technical School
College or University
Civic or Volunteer Group
Healthcare
Neighborhood Association
Faith-Based Organization
Professional Association
Local, State, and/or Tribal Government Agency
Federal Agency
Military
Elected Officials
Law Enforcement Agency
Victim Services
Public Health Agency
Mentoring Organizations
Reentry Services
Volunteer-Based Organization
Agency/Organization Address
A
ge Range
(e.g.: 10-14)
Resource Datasheet
Primary Contact Person
Name
Phone, Including Extension
Email
Secondary Contact Person
Name
Phone, Including Extension
Email
Description of Resource/Services Provided
Primary Risk Domains Addressed
If applicable, check all risk domains addressed by this resource.
Individual
Family
School
Community
Peer
Notes
Active Coalition Participant
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Resource Datasheet Resource Name Website URL Resource Categories (Institute for Intergovernmental Research)

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Completed 26 January 2021

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