* 1. Please enter your Name, Title, Email and Phone Number.

* 2. Please enter the Organization Name, Address, Website and Year Founded.

* 3. Please respond to the following:

  Less than 5 6-10 10-20 20+
Number of FT employees
Number of PT employees
Number of Volunteers

* 4. Please respond to the following:

  Yes No Uncertain
Do you have a business plan?
Do you have a strategic plan?
Do you have a board of directors?
Do you have dedicated fund-raising staff?
Do you conduct regular program evaluations?
Do you charge for any of your programs?

* 5. Please select the areas where you need the most assistance:

* 6. Please respond to the following:

  Less than Half More than Half
What percentage of your budget is derived from philanthropy?
What percentage of your budget is derived from government sources?
What percentage of your budget is derived from individuals?

* 7. Please share the organization's...

* 8. How many organization team members will participate in the training program?

* 9. Will the organization be able to commit to full participation in the progaram?

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