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Please share your first and last name.

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What is the name of your organization?

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What is your title?

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What is your organization's website?

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What is your organization's address?

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Which of the following best describes your organization's structure?

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What is your organization's mission statement?

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How would you describe the geographical service area of your organization?
Please select all that apply.

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Does your organization have paid staff?
Paid staff can be full-time or part-time and receive a W-2. Please do not include consultants who receive a 1099.

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Please select the range that best represents your organization's total annual budget for the most recently completed fiscal year.

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In what areas does your organization need capacity building?
Please select all that apply.

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What prompted your organization to seek capacity building at this time?
Please select all that apply.

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Please share any additional background information about how you are hoping Elevate NP may be able to assist your organization.

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How did you hear about us?

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