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* 1. Name of Organization

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* 2. How many people will be served by your organization through the Rapid Response General Operating grant?

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

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

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* 5. What primary population does your program serve?

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

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