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All information provided in this survey may be shared with other potential applicants upon request for purposes of facilitating partnership building among prospective applicants for the HIRE grant program. CWDB has not, and will not, screen, verify, or otherwise confirm the validity of any information provided in response to this survey. This survey is NOT an application for the HIRE Grant. 
 
For the latest updates on the HIRE initiative, visit CWDB’s HIRE page.

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* 1. Organization Type

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* 2. Organization Name 

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* 3. Primary Contact Name

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* 4. Primary Contact Email

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* 5. Are you interested in serving as a "hub" (lead fiscal agent/convener) for a HIRE network application?

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* 6. Which county or counties does your organization currently serve? Select all that apply.

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* 7. For FY 2022, what was your organization's operating budget?

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* 8. For FY 2022, how many full-time staff did your organization employ?

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* 9. What service(s) does your organization provide? Select all that apply.

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* 10. Describe the characteristics of an ideal HIRE initiative CBO partner or network of CBO partners. (e.g. geography served, service strategy, organizational mission, existing public sector partners, etc.)

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* 11. What is the best way to get in contact and establish new collaborations with your organization?

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* 12. Please list all websites/ social media your organization utilizes. (If applicable, where can we learn more?)

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* 13. Is there any other information about your organization that you would like to share?

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