Thank you for sharing. Your response will be kept confidential. While at this time there are no open funding opportunities, we are using this survey to assess need and will reach out should funding become available.

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* 1. Date of Submission:

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* 2. Name:

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* 3. Email:

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* 4. Phone Number:

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* 5. Title/Role:

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* 6. Organization:

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* 7. Has your organization received NSI funding in the past for strategic restructuring exploration/implementation?

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* 8. We are anticipating an executive transition within the next:

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* 9. Our current executive has been in their role for:

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* 10. Is your current executive the founder?

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* 11. Our operating budget is:

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* 12. Number of full-time equivalent staff:

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* 13. Please share anything else you'd like us to know about your anticipated executive transition needs:

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