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Organization Information
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Organization Name
*
Your answer
Organization Address (Street, City, ZIP)
*
Your answer
County in which the Organization is located
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Allegan
Kent
Muskegon
Ottawa
Other:
Organization website
Your answer
Mission Statement
Your answer
Services provided (select all that apply)
advocacy
church or school support
employment
housing
respite
social services
transportation
Other:
How many years has your organization been operating?
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Are you a 501(c)3?
Yes
No
Other:
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Approximately how many individuals do you serve?
Your answer
How would you describe the ability level of individuals whom you serve?
Your answer
What are your plans for future growth?
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