SITE PARTICIPATION AGREEMENT
By and Between
City of Nashua c/o Division of Public Health and Community Services
And
MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC
This Site Participation Agreement (the “Agreement”) is entered into between Mary Hitchcock Memorial
Hospital, for itself and Dartmouth-Hitchcock Clinic (referred to herein as “Dartmouth-Hitchcock”), and
City of Nashua c/o Division of Public Health and Community Services (referred to herein as “Host Site’).
This Agreement sets forth the terms and conditions for the assignment of one or more Members (as
defined below) accepted into the Community Resource Corps, an AmeriCorps Program (the “AmeriCorps
Program’), established at Dartmouth-Hitchcock, to perform services as part of a care coordination team
for persons with substance use and behavioral health needs at Host Site.
WHEREAS, Dartmouth-Hitchcock has entered into a certain Competitive Subgrant Agreement with
Volunteer NH (the “Subgrant Agreement’), pursuant to which Dartmouth-Hitchcock receives funding
from the Corporation for National & Community Service (“CNCS”) to establish and operate the
AmeriCorps Program;
WHEREAS, pursuant to the terms of the Subgrant Agreement, Dartmouth-Hitchcock is subject to certain
CNCS policies, and other federal laws and regulations relating to the AmeriCorps Program;
WHEREAS, Host Site agrees to host one or more AmeriCorps Members subject to the terms of this
Agreement, the CNCS policies and federal laws and regulations that are applicable to it as a host of
AmeriCorps Program Members as set forth more fully herein.
NOW, THEREFORE, in consideration of the covenants recited herein and for other good and valuable
consideration, the receipt of which is hereby acknowledged, the parties agree as follows:
lL. Service Year. Host Site agrees to host one or more AmeriCorps Program members to serve at
Host Site for any part of the service year beginning on February 12, 2018 and ending on February
11, 2019 (the “Service Year”). Each AmeriCorps Program member serving at the Host Site
during the Service Year is hereafter referred to as the Member. Each full-time Member shall
provide 1,700 hours of service at Host Site during the Service Year, while part-time Members
shall provide 850 hours during the Service Year.
2, Dartmouth-Hitchcock Responsibilities.
A. Dartmouth-Hitchcock shall comply with the terms of the Subgrant Agreement between
Dartmouth-Hitchcock and Volunteer NH.
B. Dartmouth-Hitchcock shall conduct a background check on the Member in accordance with
CNCS regulations.
C. Dartmouth-Hitchcock shall provide orientation and training to the Member at the start of the
Service Year and in-service training curriculum and program monitoring throughout the
