Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals
Training Sessions On Substance Abuse and Deafness

******Training Contract*****

This agreement, when signed by both the Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals and the co-sponsoring agency(ies) constitutes an agreement to provide training under the conditions stipulated below:

The MCDPDHHI will provide the following:

The co-sponsoring agency will provide the following:

The following financial arrangements are included as conditions of this agreement:

Financial arrangements are to be handled in the following manner (check one):

_____ The Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals (MCDPDHHI) will make all travel and lodging arrangements.

_____The MCDPDHHI will cover the cost of all travel, lodging, and meal and will bill the co-sponsoring agency for these items plus the per diem charge.

_____ The co-sponsoring agency will make travel and lodging arrangements and cover the cost of these items directly. The MCDPDHHI will bill the co-sponsoring agency for the per diem and meal charge of the presenter(s).

_____ Other arrangements as specified ______________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Co-sponsoring agency: _____________________________________________

Address: ____________________________________

____________________________________________

Phone: ______________________________________

Contact Person: _______________________________

Training Dates: ________________________________

 

The representatives of the Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals and the co-sponsoring agency named above agree to the terms as stated in this contract. Any modification to this contract must be stipulated in writing and signed by both agencies.

____________________________________________
Co-Sponsoring Agency Representative
 
 
__________
Date
____________________________________________
MCDPDHHI Representative
 
 
___________
Date
 
 

 

 

Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals

2450 Riverside Avenue

Minneapolis, Minnesota 55454

1-800-282-3323 (V/TTY)

612-273-4516 Fax

e-mail: Deafhoh1@fairview.org