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?

Capacity Building Needs

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* 9. Please rank the following three options in order of preference, with 1 being your most preferred and 3 being your least preferred.

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* 10. If you are not selected to participate in your first choice, would you be interested is participating in your second or third preferences?

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* 11. Can your organization commit to attending all three meetings of your most preferred training session?

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

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

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