This Interest Form is for the Collaborative Program session Scenario Planning (September 30, October 21, November 12). Before completing this Interest Form, be sure to review the full 2026 Guidelines.

Should you have any questions, please reach out to Kelsey Ellis at kmellis@saltlakecounty.gov.

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* 1. Organization

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* 2. First Name

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* 3. Last Name

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* 4. Position / Title

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* 6. Please list your organizations approximate annual budget.

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* 7. Does your organization have W2 employees?

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* 8. If yes, how many?

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* 9. Can your organization commit to attending all three meetings for this session? (Wednesday, September 30; Wednesday, October 21; and Thursday, November 12)

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* 10. What are you hoping to gain from participating in this program?

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* 11. Is there anything else you'd like us to know when considering your organization for the Impact Collaborative Program?

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