Organization name
Title
First Name
Last Name
Website
Phone
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Email address
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Which best describes your agency?
501c3
501c4
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Geographic Scope
Which of the following best describes your organization? Check one
National
International
Regional
If your agency is regional, what region(s) does it serve?
Organizational Cause Area
Which most closely describes aligns with your organizational mission?
Youth and education
Arts and culture
Gender and LGBTQ plus justice
Economic justice
Criminal legal reform
Climate and environmental justice
Immigrant/Migrant Justice
Other
If other, please specify.
What is your organizational Budget?
Under 250,000 USD
250,000 to 1 million USD
Over 1 million USD
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