Instructions:

Please complete the questions below by Friday, August 10, 2018 It is recommended you answer the questions in a separate document and copy and paste them into this application. Please note, the essay questions have a 2,000 character limit. If you have any questions, please contact Melissa Miller at 614.461.6392 ext. 209 or mmiller@ohiocdc.org.

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* 1. Organization Name

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* 2. Organization Contact Person

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* 3. Email

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* 4. Phone

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* 5. Address

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* 6. What is your organization's mission?

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* 7. Please provide a brief overview of your organization
*2,000 character limit

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* 8. What is your organization’s  community development goals, both short term and long-term? ?
*2,000 character limit

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* 9. How much staffing is currently given to community development projects
*2,000 character limit

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* 10. How would TA be most helpful for your organization? Please specify any specific goals that your organization wants to achieve.
*2,000 character limit

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* 11. Please check the top three topic areas your organization would like to receive technical assistance for. 

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