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* 1. Please tell us your Nonprofit's Name 

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* 2. What is your mission?

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* 3. Nonprofit contact name 

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* 4. Nonprofit Contact Phone Number

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* 5. Nonprofit Contact Email 

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* 6. Will your Nonprofit's Executive Director and key staff members be available during an agreed upon project time period?

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* 7. Will your Nonprofit have have executive and board support for this project? 

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* 8. Will your Nonprofit be able to provide an overview of your nonprofit mission, impact to the community and strategic priorities, as well as the reasons you are in need of the specific technology assistance?

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* 9. Choose your project choice

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* 10. Please provide specific information that is needed for the various project options

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