Steuben Rural Health Network

Health Tip #52

"Don't eat the skin on your chicken. Eat the skin on your baked potato."

Upcoming Headline Events

2/7	Adolescent Health & Wellness C... Time: February 7, 2012 at 10:00:00 AM Location: IHS Conference Room Description: A sub-committee of the Steuben Teen Pregnancy Prevention Task Force Meeting Location: Institute for Human Services, 6666 CR 11, Bath
2/9	SRHN Recruitment, Development,... Time: February 9, 2012 at 10:00:00 AM Location: IHS Conference Room Description: Only RDR Committee Members must attend. Network partners are invited to join the RDR Committee if interested in the recruitment, development and retention of healthcare and human service work force. Meeting Location: Institute for Human Services, 6666 CR 11, Bath
2/23	SRHN Community Health & Wellne... Time: February 23, 2012 at 10:00:00 AM Location: IHS Conference Room Description: Only CHW Committee Members must attend. Network partners are invited to join the CHW Committee if interested in improving the community health and wellness of Steuben County. Meeting Location: Institute for Human Services, 6666 CR 11, Bath
4/3	Adolescent Health & Wellness C... Time: April 3, 2012 at 10:00:00 AM Location: IHS Conference Room Description: A sub-committee of the Steuben Teen Pregnancy Prevention Task Force Meeting Location: Institute for Human Services, 6666 CR 11, Bath
4/5	SRHN Governance Committee Meet... Time: April 5, 2012 at 10:00:00 AM Location: IHS Conference Room Description: Only Governance Committee Members must attend. Meeting Location: Institute for Human Services, 6666 CR 11, Bath
4/12	Steuben Teen Pregnancy Prevent... Time: April 12, 2012 at 10:00:00 AM Location: IHS Conference Room Description: A sub-committee of the Community Health & Wellness Committee Only Task Force Members must attend. Any interested individual is invited to join the Task Force. Meeting Location: Institute for Human Services, 6666 CR 11, Bath
4/19	SRHN Quarterly Meeting Time: April 19, 2012 at 10:00:00 AM Location: IHS Conference Room Description: Meeting Location: Institute for Human Services, 6666 CR 11, Bath
5/8	Adolescent Health & Wellness C... Time: May 8, 2012 at 10:00:00 AM Location: IHS Conference Room Description: A sub-committee of the Steuben Teen Pregnancy Prevention Task Force Meeting Location: Institute for Human Services, 6666 CR 11, Bath
5/11	Annual Adolescent Health & Wel... Time: May 11, 2012 at 8:30:00 AM Location: Corning Radisson Description: Annual Adolescent Health & Wellness Conference at the Corning Radisson
7/12	SRHN Governance Committee Meet... Time: July 12, 2012 at 10:00:00 AM Location: IHS Conference Room Description: Only Governance Committee Members must attend. Meeting Location: Institute for Human Services, 6666 CR 11, Bath

Complete and submit this form to begin your collaboration request. Required fields are in bold. Please allow two weeks to receive notification of your request. Questions? Contact Kelli Mannon at (607) 776-9467 x226.
Agency Information
Agency Name:		Agency Phone:
Fax:		Website:
Contact Information
Title:		Name:
Email:		Phone:
Program Information
Program Name:
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Payment Information
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Project Budget - List each confirmed and anticipated source of funding for this specific project.
Funding Source	Amount	Funds Committed	Funds Requested
Steuben RHN Collaboration





Total Project Funding	$0.00
Project Expenses - List associated expenses for this project.
Expense Item		Amount	Amount of item to be funded by RHN collaboration













Total Project Expenses		$0.00	$0.00

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Request for Project Collaboration