EBA MST/FFT Team Vacancy Notification

Please fill in the information below for staff who are no longer a member of your agency's MST/FFT team to ensure compliance with the EBA Subcontractor Agreement MST and/or FFT Amendment (as applicable). This form is used to capture current information of your agency's EBP programming for the purposes of service planning including changes in expected capacity, team qualifications, and language availability for the team.

If you have any questions regarding this form, please email Kara Brooks at kbrooks@ebanetwork.com.

Questions marked with an * are required prior to submitting the form; if for some reason you are not able to provide a response, please enter N/A and include an explanation. Thank you.

Agency Name*

MST/FFT/BSFT Team*

MST/FFT Team (Additional)

For example, if the employee is supervising two MST teams, select one team above and one team below.

Person Reporting Vacancy*

First and last name.

Employee's First Name*

Employee's Last Name*

Employee's Email Address*

If the employee's email address is no longer active, please fill this in regardless as our system utilizes individual/unique email addresses to make automatic updates.

MST/FFT/BSFT Role*

Last Day of Providing Services*

Month/Day/Year

MST/FFT Replacement Position Posting

Please list the link to the new position posting if you would like for the ad to be posted on EBA's website.

MST/FFT Staff Vacancy Notes

If you have any additional information you would like to include, please list below.