Thank you for your interest in the Better Care Community Program 2020-21
  
To apply, please complete the following questionnaire by January 14th, 2021.
 
***Please note the following points prior to completing the questionnaire:
 
1. To be eligible for this program, you must be a health-related non-for-profit organization with clinical needs.
 
2. A health-related non-for-profit organization with technology based projects.
 
3. A non-for-profit organization conducting research on Covid-19 and/or tropical endemic diseases.

4. A non-for-profit organization with projects targeted to minorities' health.

***All non-profit organizations must be located in either Puerto Rico or Florida. 
 
  • For document uploads, the survey tool allows the following formats: docx, doc, pdf, jpeg, gif, jpg, png. *If your document is in MS Power Point or MS Excel, please convert it to PDF prior to uploading.
  • Clicking the Next button at the bottom of each page will save your responses and allow you to exit the questionnaire and resume it at a later time.

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* 1. Name of the non-profit organization:

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* 2. Date of the organization's incorporation:

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* 3. Postal Address, City, State, Zip Code:

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* 4. Phone Number:

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* 5. Email Address:

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* 6. How did you learn about the Better Care Community Program?

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14% of survey complete.

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