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Nonprofit Partner - Community Impact Questionnaire
Please provide the following reporting information regarding a grant or assistance your nonprofit has received from Douglas County Community Foundation.
*
1.
Contact Information
(Required.)
Your Name
Nonprofit Organization
Address
Address 2
City/Town
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP
Email Address
Phone Number
*
2.
How is the work of your nonprofit critical to addressing community needs in Douglas County?
(Required.)
*
3.
What type of assistance did your nonprofit organization receive from DCCF?
(Required.)
DCCF Local/Community Grant
Philip S. Miller Grant
Strategic Guidance
Symposium Attendee (April 2025)
Other (please specify)
If you received a grant, please provide the following information regarding that SPECIFIC grant.
*
4.
Which year was your grant provided?
(Required.)
2021
2022
2023
2024
*
5.
Which quarter was your grant provided?
(Required.)
Q1
Q2
Q3
Q4
*
6.
What was the dollar amount of your grant?
(Required.)
*
7.
How was the grant or assistance used to positively impact the Douglas County community (i.e., who and how many people were served, how were they helped, etc.)?
(Required.)
8.
If relevant, describe in detail at least one successful client story as a result of this grant or assistance.
9.
Anything else you would like to share about how this grant or assistance provided a benefit to your nonprofit and Douglas County?
*
10.
Does DCCF have permission to use this community impact information in communications and collateral materials?
(Required.)
Yes
No