Memorandum of Understanding for Comprehensive Services (SAMPLE)
Service Category:  Health
 Dental
 Family Services
 Mental Health
 Other (specify):__________________________________
This Memorandum of Understanding is entered into by and between:
____________________________________________ (Preschool Expansion Subgrantee) and
____________________________________________ (Service Provider/Community Partner) for the
purposes of providing comprehensive supportive services to young children and families served by the
Preschool Expansion Program. The district/organization named above has received federal funds from
the State of Illinois’ Preschool Development Grant award and comprehensive services are a mandated
requirement for receipt of those funds.
The goals of this agreement will be:



____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
In support of this purpose, the above named entities agree to the following:
I.
Preschool Expansion Subgrantee Responsibilities
a. Provide a liaison to the service provider to coordinate visits, training and appointments
with families as appropriate.
b. Provide space on site for delivery of comprehensive services.
c. _____________________________________________________________________
d. _____________________________________________________________________
e. _____________________________________________________________________
II.
Service Provider Responsibilities
a. Provide highly-qualified and trained personnel with experience and education sufficient
to provide effective services to children and families in at-risk communities.
b. Coordinate with program parent support and advocacy staff to plan and implement
workshops for staff and parents/guardians based on identified needs.
c. Actively support the program in developing meaningful partnerships and collaborations
with community resources.
d. Assist program parent support and advocacy staff in making effective referrals to
community mental health providers or other family resources.
e. Report any indication of possible child abuse or neglect when observed to the IDCFS
hotline (1800-25-ABUSE).
f. ______________________________________________________________________
g. ______________________________________________________________________
Illinois Preschool Expansion Program
Revised: 5/20/2015
h. ______________________________________________________________________
III.
IV.
Compensation
(select one option)

The Preschool Expansion Subgrantee will reimburse the provider at a rate of _________
per hour. The service provider will be responsible for providing detailed invoices and
reports on services in a timely manner as specified by the subgrantee.

The service provider has agreed to provide ____ hours of services per year as an in-kind
contribution to the program.
Duration
This Memorandum of Understanding shall be effective beginning with the date of the last
signature hereon and shall continue to remain in effect for the duration of programming
funded by the Preschool Development Grant.
Either party may terminate this agreement for any reason by providing 30 days of written
notice.
V.
Signatures
Authorized Representative of Preschool Expansion Subgrantee:
_____________________________________________________________________________________
Signature
Date
_____________________________________________________________________________________
Print Name
Title
Authorized Representative of Service Provider:
_____________________________________________________________________________________
Signature
Date
_____________________________________________________________________________________
Illinois Preschool Expansion Program
Revised: 5/20/2015
Print Name
Illinois Preschool Expansion Program
Title
Revised: 5/20/2015