Action Planning Form

Priority One:
Strategy(ies)	Action(s)	Manager⁽¹⁾	Implementer⁽²⁾	Expected Outcomes	Benchmarks	Completion Date (Estimated)
Strategy 1.1	Action 1.1.1
	Action 1.1.2
	Action 1.1.3
Strategy 1.2	Action 1.2.1
	Action 1.2.2
	Action 1.2.3
Strategy 1.3	Action 1.3.1
	Action 1.3.2
	Action 1.3.3
Progress to Date			Barriers and/or Situational Changes		Immediate Next Steps (including potential technical assistance needs)

Strategy Two:
Strategy(ies)	Action(s)	Manager	Implementer	Expected Outcomes	Benchmarks	Completion Date (Estimated)
Strategy 2.1	Action 2.1.1
	Action 2.1.2
	Action 2.1.3
Strategy 2.2	Action 2.2.1
	Action 2.2.2
	Action 2.2.3
Strategy 2.3	Action 2.3.1
	Action 2.3.2
	Action 2.3.3
Progress to Date			Barriers and/or Situational Changes		Immediate Next Steps (including potential technical assistance needs)

¹ The Manager is the individual responsible for coordinating each action. [Back]

² The Implementer is the individual (or entity) responsible for carrying-out each action. [Back]

Priority One: