SCI-HOP Grantee Application

Thank you for your interest in participating in the Healthy Organizations Partnership Consultant Assistance Initiative. Please fill in the information below and click "submit" when finished.
Contact Name

First NameLast Name
Organization Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website (if applicable)
Brief needs assesment
Organizational capacity building takes time--Can you commit the time to get your requested work done by November 15th? (The amount of time required for this project is based on your organization's needs.)
How does your organization's mission and/or project address economic recovery? (Please see letter for broad examples)
What are some of your current struggles within your organization (can include board, staff, volunteers), as well as operational issues? What would make the biggest difference to your organization as you move forward? What is reasonable to expect to accomplish by the end of October?
What area(s) might be most critical to your organization over the next two months to focus on with the help of a consultant?

Please pick your top 2-3 needs to help us match you with the appropriate consultant.
Leadership Development
Organizational Development
Program Development
Collaboration and Community Engagement
Evaluation of Effectiveness
Please explain "other" from above.
If there is a professional consultant you would like the Initiative Foundation to consider matching with you, please enter their name, business and contact information here.
Thank you. We are also contacting consultants and will work with all of you to make approrpaite matches and develop contracts with you as needed.
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Thank you for your interest in participating in the Healthy Organizations Partnership Consultant Assistance Initiative. Please fill in the information below and click "submit" when finished.

Brief needs assesment

What area(s) might be most critical to your organization over the next two months to focus on with the help of a consultant?