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* 1. Name of Organization

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* 2. How many people are served by your organization annually?

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* 3. How many people will be served annually by the program that receives an IRAF grant?

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* 4. Which of the following counties does your organization serve? Check all that apply.

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* 5. Describe the racial and ethnic makeup of the individuals your organization serves each year:

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* 6. What is the gender identity of individuals served by your organization annually?

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* 7. What primary population does your program serve?

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* 8. What percentage of those served by your agency or this initiative would be considered of low-to-moderate income?

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* 9. Which of WOMEN’S WAY’s four pillars does your organization’s programming address? (Check all that apply.)

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* 10. Is the organization led by (Executive Director or Board Chair) a woman of color?

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