PRC in Massachusetts Partner Application

Team Contact Information

Question Title

* 1. Lead Org Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. Project Lead Name

Question Title

* 3. Project Lead Email

Question Title

* 4. Please download and complete the attached Organizational Contact Information Sheet with the requested information about the lead organization and key partners for this project.

Question Title

* 5. Are the key leaders and decision-makers in your organization People of Color? Yes or No.

Yes

No

Question Title

* 6. If yes, please share the names and positions of your organization’s leadership below (ex. Directors of communications, finance, executive leadership, board members etc.).