Arkansas DHS Division of Community Service & Nonprofit Support
PO Box 1437, Slot S230
Little Rock, AR  72203-1437
501-320-6459     501-682-6752 (Fax)


Welcome to the Division of Community Service and Nonprofit Support's Organizational Assessment Survey. 

 

Thank you for your interest in working with DCSNS. Please complete this form and return at your earliest convenience. Once we receive a completed Organizational Assessment, we will contact you to review your answers and discuss future training and consulting topics. Please let us know if you have any questions.  

Please provide the following requested information to the best of your ability.

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* 1. Enter today's Date (dd/mm/yyyy):

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* 2.

Enter the  Name of your Organization:

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* 3.

Please provide a physical address for this organization:

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* 4.

Please provide a contact person that we may speak with regarding this assessment (Name and Title):

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* 5.

Please provide an email address that we may contact someone at regarding this assessment:

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* 6.

Please provide a telephone number that we may use to contact someone regarding this assessment:

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