Sample Memorandum Of Understanding Page 2

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1) [Applicant X] will provide [specify type of program/assistance/service] to victims of
domestic violence, dating violence, sexual assault, and stalking including:
2) [Partner 1] will provide [specify type of program/assistance/service] to victims of
domestic violence, dating violence, sexual assault, and stalking including:
3) [Partner 2] will provide [specify type of program/assistance/service] to victims of
domestic violence, dating violence, sexual assault, and stalking including:
4) [Applicant X] and [Partner 1] will collaborate in the following manner:
5) [Applicant X] and [Partner 2] will collaborate in the following manner:
6) [Partner 1] and [Partner 2] will collaborate in the following manner:
V) Timeline
The roles and responsibilities described above are contingent on [Applicant X] receiving funds
requested for the project described in the OVW grant application. Responsibilities under this
Memorandum of Understanding would coincide with the grant period, anticipated to be MM/DD/YYYY
through MM/DD/YYYY.
VI) Commitment to Partnership
1) The collaboration service area includes [specify region in your state, tribe, territory, county, or
multi-jurisdictional area].
2) The partners agree to collaborate and provide [specify type of service/assistance] to victims of
[specify crimes] pursuant to the program narrative of the grant application attached to this
agreement.
3) Compensation for [non-lead] partners' contribution to this project will be provided as outlined in the
attached OVW budget detail worksheet.
4) We, the undersigned have read and agree with this MOU. Further, we have reviewed the
proposed project and approve it.
By ____________________
By________________________
Director, Applicant X
Director, Partner 1
Date __________________
Date _______________________
By________________________
Director, Partner 2
Date _______________________
cc: Agencies and Interested Parties

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