Flex Team Request for Support

Flex Teams are designed for nonprofits seeking actionable strategies to adapt, innovate, and build organizational resilience. Our high-touch, collaborative consulting and coaching approach is offered in an accelerated format to help you get to the solutions you need in real time.

~8 weeks consulting support
Real-time strategy & recommendations for implementation
Follows framework

Submit your request for support below.

Organization Name *

Tax ID Number*

ED/ CEO Name*

First NameLast Name

ED/ CEO Title*

How does the CEO/ED identify? Select all that apply. (Please note, this question is for tracking purposes only and will not affect selection.)

ED/ CEO Email*

ED/ CEO Phone Number *

(area code) - phone number

Link to executive director bio on website or upload through the button below:

Upload the executive director's bio if not linked above:

Browse Files

Primary Contact Name (if not ED/CEO)

First NameLast Name

Primary Contact Email (if not ED/ CEO

example@example.com

Website*

How did your organization hear about this opportunity?*

Is your organization*

	Yes	No
a registered 501(c)(3) or fiscally sponsored
operating with a budgeting income above $500K
staffed with at least two full-time employees
headquartered in San Diego County
primarily serving populations in San Diego County

If your organization does not meet the above eligibility requirements, please reach out to Prentiss Smith before submitting the request for support.

What were your organization's total operating expenses in your last complete fiscal year?

Have you received other consulting services or technical assistance in response to needs that have emerged due to recent federal actions?

YesNoUnsure

What other consulting services or technical assistance have you accessed?

Give us your elevator pitch. (What you do. How you do it best. Why it matters.) 150 words max*

0/150

Please select the subsector/s that best represents your organization's primary mission and programmatic focus:*

What is the number of people in each category?*

	Number of
Clients served annually
Full-time employees
Part-time employees
Active Volunteers
Board Members

How does your client population identify? (Select all that apply.)

What area/s of San Diego does your nonprofit serve? Select all that apply. (See map link below.)*

Click here for a map of San Diego regions.

Which areas does your organization serve in Central San Diego?*

Which areas does your organization serve in East San Diego?*

Which areas does your organization serve in North Central San Diego?*

Which areas does your organization serve in North Coastal San Diego?*

Which areas does your organization serve in North Inland San Diego?*

Which areas does your organization serve in South San Diego?*

Describe any recent or anticipated changes to your funding or the composition of your revenue. 100 words max*

0/100

Please describe your funding composition. 100 words max*

0/100

If you have LOST or been told you will lose funding because of recent policy decisions or other factors, what is the amount, annually?

If you ANTICIPATE losing funding because of policy decisions or other factors, approximately what amount is at risk, annually?

P&L / Statement of Activities (most recent year end)*

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P&L / Statement of Activities (year to date)*

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Balance Sheet / Statement of Financial Position (most recent year end)*

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Balance Sheet / Statement of Financial Position (year to date)*

Browse Files

Most recent Form 990*

Browse Files

If you have your costs and revenue broken down by program, please attach.

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If you have a budget forecast, please attach.

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In this section, we ask for your candor about your goals for your organization. We are not looking for perfect organizations; we are looking for those that will most benefit from working with Amplified Impact Partners wherein we help you navigate uncertainty and increase resilience. Your responses will be kept confidential within our organization.

Please indicate how high of a priority improving each of the following support areas is for your organization with 1 as high priority and 5 as low priority. *

	1 (High Priority)	2	3 (Medium Priority)	4	5 (Low Priority)	Not Sure
Strategy & Programs
Finance & Budget
People & Operations
Communication & Messaging
Revenue Development
Leadership Development
Governance
Operations

Keeping in mind the rapid-response format of Flex Teams, what would you characterize as your organization's most immediate needs? What actions, if any, have you taken to address those needs? 100 words max.*

0/100

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Engagement Principles Policy

Amplified Impact Partners is a values-driven organization. As such, we reserve the right to refuse our services if an organization's purpose and goals run counter to our values and desire to contribute positively to a collaborative, inclusive, healthy, and prosperous community for all. We do not work with organizations or support efforts that reflect, incite, or promote behavior that we deem, in our sole discretion, to be an abuse of power or in support of terrorism, hate, violence, harassment, bullying, discrimination, terrorist financing or intolerance of an kind that reflects an abuse of power relating to ethnicity, national origin, religious affiliation, sexual orientation, sex, gender identity, gender expression, disabilities, or diseases.

You are responsible for faithfully characterizing your organization's purpose, goals, activities, and financials. You are solely responsible for compliance with all government laws as they apply to Amplified services. Failure to comply with any of the following during the application phase or a formal engagement will result in the termination of Amplified's collaboration with the organization.

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Authorization and Release Agreement

I hereby authorize Amplified Impact Partners to list the name of our organization and our logo on their website (www.amplified.org), electronic newsletters, emails, social media or other publications to indicate that we received Amplified's volunteer support without payment or any other consideration. A generic statement of the type of volunteer support, duration and parties involved may also be included. Any further communication, marketing, or outreach materials related to the nature, outcome or details of the activity in which we mutually engage is allowable with prior approval from me or other executive level leadership.

As a material condition to Amplified’s entering into a volunteer engagement with your organization, your organization hereby waives, releases, holds harmless and forever discharges Amplified Impact Partners and each of its employees, officers, directors, members, partners, affiliates, agents, attorneys, successors, and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages, and liabilities, of every kind and nature, whether known or unknown, in law or equity, that your organization has or may have, arising from or in any way related to your relationship with Amplified; provided that this waiver of liability does not apply to any acts of gross negligence or intentional misconduct.

Name*

First NameLast Name

Signature*

Thank you for taking the time to submit your Flex Team Request for Support. You will receive a copy of your request form upon submission. If you have any questions, please contact Prentiss Smith.

Flex Team

The Basics

Eligibility

Your Mission & Impact

Your Financial Picture

Your Goals