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* 1. Organization Name:

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* 2. Address:

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* 3. Your Name:

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* 4. Your Title:

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* 5. Your Email:

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* 6. Best phone number to reach you:

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* 7. Is your organization looking for Funds and/or Marketing Assistance

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* 8. If awarded funds, to whom should we make the check payable:

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* 9. If awarded Marketing Assistance, please provide Contact name and e-mail address

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* 10. Is your organization a 501c3 nonprofit?

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* 11. Please enter your EIN:

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* 12. Campaign Types (Education, Environmental, Health, Mental Health, Safety Net Issues, Other) If Other please provide a short description.

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* 13. What is the NAME of the project/program for which you are seeking funding?

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* 14. What is the expected start and end dates for your project?

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* 15. Please provide a paragraph explaining the specifics of the project/program for which you are seeking funding?

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* 16. Which areas does/will this program serve?

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* 17.
Which segment(s) of the local population does this capital campaign serve? (e.g., Seniors, Children age 0-5, Youth and Teenagers, Seniors, Disabled Population, Low-Income Families, Homeless or At-Risk Individuals, Minority or Underserved Communities, People Experiencing Mental Illness, Environmental Stewards or Conservationists, Survivors of Domestic Violence, LGBTQ+ Individuals, Artists and Creatives, Artists and Cultural Creators, Food Insecure Population)

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* 18. What is the amount you are requesting from the 2026 Legacy Fund for this project/program?

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* 19. What is the total funding amount needed for this program?

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* 20. What percentage of this amount has been raised to date?

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* 21. How will the Celebrate Community Partnership be recognized for this support? (naming rights, sponsorship, etc.)

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* 22. Please list other major donors to this program (if any). If none, please put none.

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* 23. What will happen to funds designated for this program if it is not completed as expected?

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* 24. Does your organization have a plan for measuring the results of this project/program? If so, please explain.

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* 25. Is there anything that we didn't ask that you would like to include? Please do so here.

 
 100% of survey complete.

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