UECC Intake Survey Collaborative Information Tell us briefly about your collaborative. Question Title * 1. Point of Contact Information Name Organization Email Address Question Title * 2. Collaborative name: Question Title * 3. When was your collaborative founded? Question Title * 4. Where is it located? Question Title * 5. What is your governance structure? Question Title * 6. What is its focus? Question Title * 7. How many members do you have? Question Title * 8. Is your collaborative committed to the integration of racial equity into its membership, processes, and outcomes? No Yes Next