Organizational Overview

Please provide key descriptors of your organization in this section.

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* 1. What is your organization's name?

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* 2. What date was your organization founded?

Date

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* 3. Does your organization have charitable status?

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* 4. What topic area(s) does your organization focus on?  Please check all that apply.

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* 5. Are the members of your organization...

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* 6. Is your organization part of a larger, parent organization?

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* 7. What is the name of your Executive Director (ED) or Chief Operating Officer (CEO)?

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* 8. What is your ED or CEO's phone number?

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* 9. What is your ED or CEO's email address?

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* 10. What is the address of your organization's main office?

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