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Please let us know what your evaluation needs are by completing this on-line form and our Evaluation Specialist will contact you.
What state/territory are you from?
Connecticut
Delaware
Maine
Maryland
Massachusetts
New Hampshire
New Jersey
New York
Pennsylvania
Rhode Island
West Virginia
Vermont
Washington, DC
Other
Type of proposal:
IPM Issues
IPM Working Group
IPM Communications
None of those
Name of requester:
Name of the organization & address:
Name of the organization
Address
E-mail & telephone:
E-mail
Telephone
Date requested:
Please describe the nature of your program and activity that is in need of evaluation assistance:
What evaluation services do you need assistance with?
Design an evaluation plan
Create a logic model
Develop data collection instruments (e.g., GIS, SNA, Case study, Survey)
Gather credible evidence / collect data (e.g., GIS, SNA, Case study, Survey)
Analyze data
Statistical assistance
Programming assistance
Report writing
Other. Please explain:
Is this the first time you have requested assistance with an evaluation?
Yes
No. If so, how many times?
Comments and questions:
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