CoalitionMemberAgreementForm
Name of Coalition
Member
Sector Representation
Organization
Representation
This agreement between the Pasco Discovery Coalition and the
_____________________________ Sector representative, _____________________________,
shall be from ______________until terminated by a mutual accord. This agreement will be reevaluated on a yearly basis.
The Pasco Discovery Coalition will be responsible for:
1.
2.
3.
4.
5.
Creating and following by-laws and policies;
Formulating coalition goals and objectives;
Overseeing operations of activities, programs, and paid staff;
Increasing new membership of the coalition;
Creating and following a strategic Action Plan, to include programs, trainings and
environmental strategies;
6. Creating a credible and relevant sustainability plan which includes volunteer membership
and resources, both financial and material;
7. Respecting the rights of Pasco Discovery Coalition members to hold their own opinions and
beliefs.
The ____________________________________representative,
____________________________________,
will be responsible for:
1.
2.
3.
4.
5.
Being a community leader amongst the represented sector;
Ensuring clear communication between the sector represented and the coalition;
Acting as a positive role model for youth, families, and peers;
Supporting the coalition’s mission;
Attending coalition meetings which are held on a monthly basis with a minimum 80%
attendance rate;
6. Participating in at least one subcommittee;
7. Attending coalition sponsored trainings (minimum one), town hall meetings, and community
events (minimum one);
8. Contributing to the strategic planning process;
9. Participating in sustaining the coalition’s capacity, involvement, and goals;
10. Participate in additional educational web-based data systems such as PBPS and the Athena
Forum;
11. Preventing youth substance use through environmental strategies;
12. Using his/her activities as match, if applicable.
_______________________________
Coalition Representative’s Name
___________________________
Sector Representative’s Name
________________________________
Coalition Representative’s Signature
____________________________
Sector Representative’s Signature
_________________________ __/__/__
Title
Date
_____________________ __/__/__
Title
Date
Sectors:
1.Youth
2. Parent
3. Law Enforcement
4. Civic/Volunteer Groups
5. Business
6. Healthcare Professionals
7. Media
8. School
9. Youth-serving Organizations
10. Religious/Fraternal Organizations
11. State/Local/Tribal Governments
12.Other Substance Abuse Organization