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Mission Statement
Description of Major Programmatic Accomplishments During Last Three Years (500 words or less)
Organization Employer Identification Number
Community Impact
DEMOGRAPHIC INFORMATION
What percentage of your organization's staff and executive leadership are men?
What percentage of your organization’s staff and executive leadership identify as LGBTQ+?
What percentage of your organization’s staff and executive leadership is Black, Indigenous, or other People of Color (BIPOC)?
Does your organization track the demographic makeup of individuals directly served?
What percentage of individuals directly served by your organization in the last year are women?
What percentage of individuals directly served by your organization in the last year identify as LGBTQ+?
What percentage of individuals directly served by your organization in the last year are Black, Indigenous or other People of Color (BIPOC)?
Annual operating expenses are:
How many people does your organization employ?
I certify that my organization has been affected by the COVID-19 pandemic or by ongoing economic challenges related to the COVID-19 pandemic (such as increased financial insecurity, increased operating costs, or other related expenses) that continue to impact my operations today. (Please note you are still eligible if your organization was established post the COVID-19 pandemic).
I certify that my organization is currently active.