Prospective Client Intake Form - Organizations and Strategy
Thank you for reaching out to UBUNTU Research and Evaluation to provide your organization services. UBUNTU Research and Evaluation is a professional learning community run by black women who use liberation and beloved community frameworks to evaluate, facilitate, and strategize with individuals, organization and communities.
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What is the name of your organization? *
What is the size of your organization? *
What is the zip code of your organization's main address? *
Please share a link to your organization's website or other online presence. *
What is the full name of main point of contact? *
What is the main point of contact's title or position in the organization? *
What is the main point of contact's email address? *
What is the main point of contact's phone number? *
Please enter a 10 digit telephone number. ###-###-#### x###
Why have you decided to reach out to UBUNTU? *
Do you currently have part or full time evaluation support on staff? *
Have you assessed racial equity at your organization in the last 12 months? *
What definitions of racial equity have been discussed in your organization? *
How do you plan to utilize the results of this assessment? *
Our goal is to provide an evaluation that gives you meaningful information that your organization can use.
Please describe the program, project or policy you would like to assess. *
Please describe any trainings or workshops relating to equity, diversity and inclusion that have occurred in your organization over the last 6 months. *
What is your budget? *
If unknown, please provide relevant information that would determine the expense for your organization.
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