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* 1. Please select the description that best describes the organization that you represent or are affiliated with.

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* 2. Please select the response below that best represents your organization’s service area. (Select all that apply.)

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* 3. How many years has your organization been in operation?

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* 4. What type of programs and services does your organization offer?

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* 5. Briefly Describe Your Mission:

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* 6. To the best of your knowledge, is your organization in good standing with the State of Maryland and the IRS as it relates to your tax exempt status?

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* 7. How would you characterize your organization's organizational capacity? (Organizational Capacity = Your organization's ability to implement, measure, and manage its intended results, given the talent, capabilities, and financial resources at its disposal.)

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* 8. Has your organization ever applied for a grant?

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* 9. Please provide a brief description of your proposed project that you are requesting 1:1 consulting and technical assistance support to complete. The project should help you build your organization's administrative, operational, or programmatic capacity.

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* 10. Please select which program you are interested in; you may select more than one program: