Apply Online

To complete your application, please respond to the following questions (1-20) and submit by 11:59pm on Tuesday, August 13, 2024.

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Organization Information

Please provide the following information about your organization.


Primary Contact Information

Please provide the following information for the primary contact.

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Application Questions

Please provide answers to the following questions.

($20,000 maximum award)
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20.Complete Demographic Tables 1 & 2
Please provide the following information about your organization. If you do not track any portion of this information, leave blank.

Demographic Table 1

# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
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Demographic Table 2

# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
# of Board # of Leadership # of Staff
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