Exit this survey Leadership Portland 2015-2016 Impact Project Proposal Question Title * 1. Please provide the following: Organization Executive Director Name Contact person if different Address City, State and Zipcode Email Address Phone Number IRS 501(c)(3) ID Number Organization Website Question Title * 2. Your organization's mission: Question Title * 3. How long has this organization been a 501(c)(3)? Question Title * 4. Local organization yearly revenue: < $50,000 $50,000 - $199,999 $200,000 - $499,999 $500,000 - $999,999 $1,000,000+ Question Title * 5. Number of FTE: Question Title * 6. Impact Project Title: Question Title * 7. Briefly describe your Impact Project proposal (1000 characters or less) Question Title * 8. Why is your organization unable to complete this project? (500 characters or less) Question Title * 9. Do you believe this project can be accomplished within a 7 month period? Yes No Question Title * 10. If successful, how will this project be sustained within your organization? (300 characters or less) Question Title * 11. Who will be the main contact person for the Leadership Portland group to work with throughout this process? Name: Phone Number: Email: Submit