1.

We need your help! The Hunter College Campus Schools are interested in recruiting and supporting students of diverse backgrounds. Community-based organizations (such as places of worship, youth services organizations, recreation centers, and after-school programs) are extremely helpful in this effort. Please fill out the questions below as fully as possible. Thank you for your help.

Question Title

* 1. Name of organization

Question Title

* 2. Short description of the organization:

Question Title

* 3. Website:

Question Title

* 4. Phone:

Question Title

* 5. Email:

Question Title

* 6. Name, title, and contact information of main contact:

Question Title

* 7. Name, title, and contact information of other contacts:

Question Title

* 8. Population this organization serves (e.g. age, socio-economic status, ethnicity)

Question Title

* 9. Does this organization serve students in 5th grade or below?

Question Title

* 10. If the organization provides services, please describe any that might be useful to HCCS. Include information about any fee structure if you can.

Question Title

* 11. This organization will be helpful for:

T