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* 1. Name of Nonprofit Organization:

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* 2. Primary Contact Full Name:

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* 3. Primary Contact Role or Title:

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* 4. Primary Contact Email:

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* 5. Primary Contact Phone Number:

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* 6. Our interest is in offering an hour long office hours telephone or video consult on whatever COVID-19 response challenge is most important to you at this time. Please provide several brief bullet points describing that challenge.

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* 7. Select the most appropriate focus of the nonprofit organization:

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* 8. How did you hear of our office hours consult offer?

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* 9. Is your organization a past client of Community Partners?

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* 10. If yes, please indicate the name of the Community Partners volunteer who led the team, if you recall.

If you don't recall, enter "Unknown". If this does not apply to you, enter N/A.

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* 11. Are you a HBS Alum?

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* 12. Any other comments or questions for us?

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