BHWD (MIP) Organizational Capacity Pre/Post Evaluation Survey

Questions marked with a * are required
The purpose of this survey is to assess your organization's strengths regarding the implementation of the Mentored Internship Program (MIP) and identify areas where training and technical assistance (TTA) could enhance your MIP capacity. Please note that one survey must be completed for each awarded application.
Organization Information
Date of survey completion
What stage of the Mentored Internship Program (MIP) are you completing this survey?
Organization Name
Site Location Information
Contact Information for Person Completing Survey
Who are the target populations served by your organization?
Please select ALL the services provided by your organization. 
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