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This application will be open from April 16-June 25, 2012
501cTECH and Accenture Metro DC are pleased to present the 2012 Technology Innovation Award Application
PART 1: ELIGIBILITY
To qualify for the Technology Innovation Award, your organization must meet the following requirements. Please check each box to verify your eligibility*

My organization is a 501(c)3 charitable organization (as defined by the Internal Revenue Service), other than: churches or organizations whose primary mission is to promote a religion; private school, colleges or universities; nonprofit hospitals or cooperative hospital service organizations; and governmental units. My organization can demonstrate fiscal responsibility, which is defined by adherence to generally accepted accounting standards. My organization is inclusive and embraces diversity; does not discriminate in service delivery and employment on any basis including ethnicity, gender, sexual orientation or religion. My organization is based or have a chapter in the Washington Metropolitan area which is defined as the District of Columbia, suburban Maryland or suburban Virginia. At minimum, my organization has an annual operating budget of $500,000. The technology innovation described in this application has been implemented within the past 12-18 months.
E-mail
PART 2: ORGANIZATIONAL INFORMATION
ORGANIZATION:*

ORGANIZATION ADDRESS:*

CONTACT PERSON:*
First Name Last Name
TITLE:*
PHONE NUMBER:*
- Area Code Phone Number
EMAIL:*
ANNUAL BUDGET:*
HOW DID YOU HEAR ABOUT THE AWARD?
IF OTHER, PLEASE SPECIFY:
DID YOU ATTEND ONE OF OUR WEBINARS?

Yes No
PART 3: ORGANIZATIONAL BACKGROUND
Briefly describe your nonprofit's history, mission, goals, and accomplishments. (300 words maximum):*

0/300
PART 4: TECHNOLOGY INNOVATION
Describe your technological innovation. (300 words maximum):*

0/300
PART 5: JUDGING CRITERIA

Please answer the following three questions and include quantitative examples whenever possible. (300 words maximum per question.)
What is the IMPACT of your technological innovation on your programs and operations, e.g. fundraising, advocacy, membership, volunteer, financial and/or human resources management? (40 points)*

0/300
What is the IMPACT of your technological innovation on your ability to better serve your clients, customers, donors, members and/or our community at large? (40 points)*

0/300
What can other nonprofits learn from your experience? (20 points)*

0/300
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This application will be open from April 16-June 25, 2012