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* 1. Name of YWCA

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* 2. Which YWCA USA mission impact framework platforms have a specific place(s) in your YWCA’s organizational structure or work plan (e.g.: as a department(s), specific program(s), and/or initiative(s)?’ (check all that apply)

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* 3. If racial justice and civil rights was checked in #2, who are the programs designed to serve? (check all that apply)

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* 4. If empowerment and economic advancement was checked in #2, who are the programs designed to serve? (check all that apply)

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* 5. If health and safety was checked in #2, who are your programs designed to serve? (check all that apply)

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* 6. Approximately how many unduplicated individuals do you serve in programs and initiatives designed specifically to forward one or more of the mission impact framework platforms?

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* 7. Provide the number of staff and volunteers whose work includes supporting the delivery of racial justice and civil rights programs/services.

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* 8. Provide the number of staff and volunteers whose work includes supporting the delivery of empowerment and economic advancement of women and girls programs/services.

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* 9. Provide the number of staff and volunteers whose work includes supporting the delivery of health and safety of women and girls programs/services.

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* 10. What is your YWCA's total annual program services budget? (if possible, please use the program service expenses figure from the most recent 990 - part IX, column B, line 25)

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* 11. What is the annual cost of providing programs/services in each of the mission impact framework platforms? (approximate the breakdown of the figure given in question 10)

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* 12. For future funding opportunities, please rank the mission impact framework platforms in order of priority for collaborative funding. (1 - top priority)

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* 13. For the framework platform identified as the top priority (ranked #1) in question 12, would you like to collaborate to enhance an existing program or start a new program?

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* 15. If you answered new in question 13, what is approximate amount of funding needed to launch a new program(s)? Provide a brief description of the proposed program(s).

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* 16. Have you applied for/sought funding that was not awarded, but think an application could be more successful/competitive if there was national collaboration?

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* 17. Do you have an existing relationship with a national corporation that would have an interest in providing national funding?  

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* 18. Do you have in-kind needs to support your current programs?  (e.g. technology, household items, books)

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* 19. Please share any comments or information you feel is relevant or helpful as YWCA USA pursues funding to support our national network of local associations.

THANK YOU for taking the time to complete this survey.  
We look forward to working with you!
YWCA USA Development Team

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