Grant Writing Technical Assistance Screening & Intake Form

About You

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1. Name (Required.)

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2. Position/Title (Required.)

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3. Email (Required.)

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4. Organization Name (Required.)

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5. Organization Address (Required.)

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6. Organization Type (Required.)

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.