Share stories about the impact of California Humanities funding!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Email Address

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* 4. What city are you located in?

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* 5. What is your zip code?

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* 6. Organization Name

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* 7. Project Title or Grant Number, if applicable

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* 8. How has California Humanities funding supported your work or that of your organization?

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* 9. What impact does California Humanities funding have on your community?

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* 10. If you are a current grantee, what impact does losing California Humanities funding have on you, your organization and/or your community?

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* 11. If you are an applicant, what impact does losing potential California Humanities funding have on you, your organization and your community?

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* 12. As a grantee or applicant, how does California Humanities staff support your work?

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* 13. Is there anything else you would like us to know?

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* 14. Is it ok for California Humanities staff to contact you about your story/example?

Yes

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* 15. Sharing my story

I consent to having my story/example shared anonymously, including use on California Humanities social media, website, eNews, or with our elected Officials.

I consent to having my story/example shared and would prefer it to be attributed to me by name, including use on California Humanities social media, website, eNews, or with our elected Officials.

I do not consent to having my story/example shared.