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Organization Information
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Email
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Record my email address with my response
Organization Name
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EIN, if organization is a 501(c)3
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Organization website, if applicable
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Name and Role in the Organization
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Contact Email
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Contact Phone number
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Physical address of organization
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History of Organization; i.e., when was the organization started? Successful completed projects and/or successful ongoing programs? Limit 2000 characters
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What is the Organization's Mission Statement? Limit 1000 characters
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Who is responsible for running the organization and or making financial decisions? Who serves on the Board of Directors, if applicable. Please submit an organizational chart if you have one. Limit 1000 characters.
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How is the Organization funded? Limit 1000 characters
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