Grant Writing Technical Assistance Screening & Intake Form

About You

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* 1. Name

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* 2. Position/Title

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* 3. Email

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* 4. Organization Name

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* 5. Organization Address

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* 6. Organization Type

community-based organization

Tribe

tribal-led organization

501(c)3 nonprofit with annual operating budget of less than $3 million

Other (please specify)

33% of survey complete.