MVP: New Partner Questionnaire
www.myvillageproject.com
Name
*
First Name
Last Name
Organization
*
Chapter
Position/Title
*
Email
*
Phone
*
Secondary Contact
First Name
Last Name
Email
Phone
501c3
*
Please Select
Yes
No
EIN
*
Website
*
Year Founded
*
Board is at least 80% Black
*
Please Select
Yes
No
Total Membership
*
Employees, membership, volunteers, etc.
Area of Service
*
Please Select
Gainesville
Jacksonville
Miami
Orlando
Tampa
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Explanation of Organization's Programming
*
Meeting Schedule
*
Ex: Every Tuesday from 3-5pm (Jan-Dec)
Number of Participants Served
*
Students, parents, etc.
Average Annual Budget
*
Largest Grant Received (Past 3 Years)
*
Description of How Grant Funds Will Be Used
*
Organization's IG Handle
*
Write N/A if organization does not have an account.
Organization's Logo
*
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