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* 1. Organization Name

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* 2. Contact Name

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* 3. Contact Email

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* 4. How is COVID-19 impacting your organization overall? (please select one)

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* 5. How is COVID-19 affecting your organization financially? (please check all that apply)

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* 6. What is the estimated total amount of additional financial support you might need (from all sources, not just Pride Foundation) as a result of the COVID-19 crisis? (A ballpark estimate is all that we are looking for here).

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* 7. Other than financial support, are there ways that Pride Foundation and others could support your work in the coming months? (Please check all that apply)

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* 8. Is there anything else you’d like to share with us about your organization’s and communities' current situation or anticipated future?

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* 9. Would you like a Pride Foundation staff person to follow up with you directly to talk about what your organization needs right now?

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