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* 1. Name

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* 2. Email Address

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* 3. Your Role:

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* 4. CASA Program Name:

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* 5.  Have you previously partnered with faith-communities to support the work of CASA?

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* 6. Please describe any potential challenges to your CASA program in partnering with faith-communities, whether internal or external.

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* 7. What religious groups has your CASA program successfully connected with, i.e. recruited volunteers from, partnered for an event, received donations from?
Select all that apply.

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* 8. Please describe your CASA program’s experience in working and partnering with diverse individuals, organizations, or community groups, i.e. Our program is a member of and an active participant in the Black Chamber of Commerce.

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* 9. Are you able to identify volunteers who are actively involved in a faith community? 

Note that active indicates a volunteer who regularly attends worship services and other community activities.

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* 10. Do you have successful connections with clergy leaders in your service area, i.e. through a local ministerial alliance or an individual faith-community?

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