Health Policy Analysis Form

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PROJECT #H2 1115 - HEALTH POLICY ANALYSIS
Section A: Consultant’s Information
Name:
Address:
Phone: ___________________________________
Email: ___________________________________________
Section B: Summary of Skills and Expertise
Provide a brief narrative of the relevant skills and experience that would be beneficial
in leading this project. Include a Resume or Curriculum Vitae
Section C: Proposed Work Plan with Timelines
Provide a workplan to meet the objectives identified in the Scope of Work, include
timelines
Section D: Proposal Budget
Please include all expected costs including consultant fees, facilitator costs, travel,
venue, supplies, equipment and other associated with completion of project
Expense Item
Details
TOTAL PROJECT COST
Cost
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