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Organizational Profile

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* 1. Contact Information

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* 2. Did you use a fiscal sponsor?

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* 3. If yes, please provide the name of your sponsor.

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* 4. Which Grant Program and year is this report for?

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* 5. How many years has your organization/work existed?

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* 6. What is your annual budget?

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* 7. Does your work address a new or emerging issue for your organization?

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* 8. Field of Work/Key Issues Addressed

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* 9. Staff/Volunteer Demographics (Please indicate number for each.)

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* 10. Board Demographics (Please indicate number for each.)

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