Contract for Consultant

Client:_____________________________________________________
Address:____________________________________________________
Telephone number(s):_________________________________________
E-mail address:______________________________________________
Directions:___________________________________________________


Contact person:________________________________ Title:___________________
Address: (if different from facility)__________________________________________
Telephone number:__________________________ e-mail address:_______________

GOAL: The purpose of this consultation is to:

OBJECTIVES:





METHOD OF ASSESSMENT:

The consultant will spend _____ hours through _____ (#) visits on the following dates:


During that time the consultant will perform the following tasks:






Method of assessing consultant:_____________________________________________

Cost for consultant: __________
($100/hour for on-site; $50/hour for telephone conferencing; $25/e-mail) Cost of Travel:_____________
Cost of Telephone calls:_______
Per Diem food/lodging:________


Signature of Client Representative Date Signature of CDF Representative Date

Signature of Consultant Date
 

Return to Consultant.

Return to Home Page.