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* 1. Respondent Name & Title

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* 2. Organization Name & EIN

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* 3. Email

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* 4. Phone

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* 5. What is the mission of your organization?

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* 6. What specific population segment does your organization serve?

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* 7. What Pillar Resource Category Best Describes Your Organization?

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* 8. Is your organization a non-profit or for-profit entity?

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* 9. Has the COVID-19 crisis directly affected your Veteran service organization and the ability to provide services? If so, how?

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* 10. Would your non-profit benefit from Los Angeles County or philanthropic assistance? If so, what need is most dire? (e.g., staffing, programmatic funding, resource items and type)

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