Workforce Benefits Navigator Inquiry
Community Based Organization Funding
Workforce Benefits Navigator Initiative is a grant authorized under Senate Bill 1545, and is one of eight Future Ready Oregon programs. Funding is awarded on a quarterly basis. If the inquiry questions pose a barrier or if you have any questions please feel free to reach out to our WBN Coordinator Katrina Sturgeon at katrina@nworegonworks.org
Name of Organization
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Title Within Organization
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Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
In a few sentences, please provide a brief description of your organization including how much funding are you requesting, do you have a project planned, have you written a project budget already, how many individuals does your Community Based Organization serve per month?
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In which county or counties does this program/project operate? Select all that apply.
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Clatsop
Tillamook
Benton
Lincoln
Columbia
How many staff are in your organization?
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What services does your Community Based Organization currently provide?
What services do you hope to provide in the next six monts?
One requirement of awarded funds is gathering of participation data for our grant reporting, including basic contact, and demographic information. Please indicate that you can commit to this reporting requirement by checking the box below.
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Yes, I will commit to providing the necessary grant reporting informationbefore deadline(s) agreed upon.
No, I cannot commit to providing the necessary grant reportinginformation, or cannot commit to doing so by deadline(s).
Which priority populations does your Community Based Organization serve? Check all that apply.
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Communities of color
Women
Low income communities
Rural and frontier communities
Veterans
Persons with disabilities
Incarcerated and formerly incarcerated individuals
Members of Oregon's nine federally recognized Indian tribes
Individuals who disproportionately experience discrimination in employment on the basis of age
Individuals who identify as members of the LGBTQ+ community
Does your CBO already have a Unique EntityIdentifier number (free to obtain through sam.gov)?
Is your CBO registered with Oregon Secretary of State? https://sos.oregon.gov/business/Pages/register.aspx
Yes
No
No, but our CBO can be registered soon.
Will your CBO be able to provide a clear criminal background check for any representative that will be interacting unsupervised with “Vulnerable Populations”?
Yes
No
Maybe
I have more questions.
Will your CBO be able to provide certificates ofinsurance coverage? What kinds of coverage do you currently have?
Is there anything else you wish to share about your program, those you serve, or other needs in your community?
Do you have any questions, concerns, or feedback for us? We want to hear from you!
Please submit a signature attesting that you are the appropriate representative for your organization or program, and that the above information is true and accurate to the best of your knowledge.
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Submit
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