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Memorandum of Understanding Sample Page 2
Memorandum of Understanding Template 2
SAMPLE FORMAT AND CONTENT
MEMORANDUM OF UNDERSTANDING
All italicized sentences are considered instructions and should be deleted prior to the
submission of the final MOU.
This Memorandum of Understanding (MOU) is entered into by and between: Provide the agency
name and a brief description of each agency i.e. non-profit Domestic Violence non-shelter
provider.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________.
A. Purpose
. (State the purpose of the MOU)
A. Roles and Responsibilities. Clearly describe and delineate the agreed upon roles
and responsibilities each organization or agency will be providing to ensure project
success. The roles and responsibilities should align with project goals, objectives
and target outputs. This may be time commitment, in-kind contributions or grant
funds and could include but is not limited to the following: training, workspace,
volunteer hours,
Agency A agrees to:
Responsibility/Activity Responsible Staff
Agency B agrees to:
Responsibility/Activity Responsible Staff
B. Reporting Requirements. Describe who will be responsible for collecting, collating
and submitting data as per the project target outputs and outcomes.
C.
Funding. Clearly describe any grant fund, the amount and category (personnel, office
supplies, contracted services, etc.) that will be provided to the non lead agency(s).
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