Committee Milestone Request Form

Date *

First Name *

Last Name *

Phone *

Email *

Your Milestone Task *

What does this milestone task accomplish/ do for our collaborative? *

(What will this milestone accomplish?)

Which Milestone Does It Help? *

Milestone 1: Increase Industry Retention and Member Advancement

Milestone 2: Increase placements and navigator and employer connections

Milestone 3: Partnership Efficacy

Milestone 4: Recruitment

Milestone 5: Sustainability

Tactics (Your How) *

(Please list all pertinent tasks and descriptions.)

Metrics *

(Please describe how you'll measure success.)

Are you ready to assign this task to a facilitator?

Yes

No

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