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* 1. Organization Name

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* 2. If selected to be a part of this cohort, who will be the organization's point of contact? Please provide the person's name and contact information.

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* 3. Has your organization received its ruling from the Internal Revenue System (IRS) confirming its exemption from the federal income tax under section 501 (C) (3) of the Internal Revenue Code? 

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* 4. What is the organization's annual budget?

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* 5. Does at least 25% of the organization's leadership (as you define it) or Board identify as Black, Indigenous, People of Color, LGBTQ+, or persons with disability?

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* 6. What region does the organization serve?

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* 7. To be considered for funding, at least 50% of the organization's population served must fall within the marginalized group(s) identified. Select the group(s) for which the organization provides programs/services.

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* 8. What are the organization's overall goals related to increasing capacity?

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* 9. Does the organization have dedicated staff to commit to one year of nonprofit coaching and peer-to-peer learning virtually?

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* 10. What does the organization hope to gain from this experience if selected?

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