Memorandum of Understanding (MOU)

Between

__________________________ [Non-Profit Organization Name]

and

__________________________ [Government Agency Name]

Date: ____________________

1. Purpose

2. Background

3. Roles and Responsibilities

Non-Profit Organization

Government Agency

4. Term and Termination

5. Confidentiality and Data Sharing

6. Funding and Resources

7. Dispute Resolution

8. Amendments

9. Signatures

For: _____________________________
Title: ____________________________
Date: ____________________________
Signature: _______________________

For: _____________________________
Title: ____________________________
Date: ____________________________
Signature: _______________________