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PRC in Massachusetts Partner Application
Team Contact Information
*
1.
Lead Org Contact Information
(Required.)
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
*
2.
Project Lead Name
(Required.)
*
3.
Project Lead Email
(Required.)
*
4.
Please download and complete the attached
Organizational Contact Information Sheet
with the requested information about the lead organization and key partners for this project.
(Required.)
Upload the completed Organizational Contact Information Sheet (linked above)
Choose File
No file chosen
5.
Are the key leaders and decision-makers in your organization People of Color? Yes or No.
Yes
No
6.
If yes, please share the names and positions of your organization’s leadership below (ex. Directors of communications, finance, executive leadership, board members etc.).
