Free Action plan template 13
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Action Plan Template
Purpose:

To create a “script” for your improvement effort and support implementation.

Directions:

1. Using this form as a template, develop a work plan for each goal identified through the needs assessment process.
Modify the form as needed to fit your unique context.
2. Distribute copies of each work plan to the members of the collaboration.
3. Keep copies handy to bring to meetings to review and update regularly. You may decide to develop new work plans for new phases of
your effort.

Issue/Problem:_____________________________________________________________________________________________________________
Goal: _____________________________________________________________________________________________________________________

Action Steps
What Will Be
Done?
Step 1:

Step 2:

Step 3:

Step 4:

Step 5:

Responsibilities
Who Will Do It?

Timeline
By When?
(Day/Month)

Resources
A. Resources Available
B. Resources Needed
(financial, human, political &
other)
A.