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*** Nonprofit Capacity Building Grant Fund - October 2021***

Organization
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First Name
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Last Name
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Address 1
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Address 2
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City
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State
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Zip
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Email
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Phone
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* Please indicate which populations your organization serves:
If you checked Other Marginalized Groups, please list those groups in the section below
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* What % of your work is done in urban areas? - The US Census Bureau defines urban areas as cities with a population more than 50,000
* What % of your work is done in rural areas? - The US Census Bureau defines rural areas as cities with a population less than 50,000
* Organization Website and/or Social Media Page
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* Total Organizational Budget & Number of FTE's- Must be less than $500,000 and 10 FTE's to be eligible.
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* Type of Organization
If you are an Organization fiscally sponsored by another 501c3, please enter your Fiscal Sponsor in the section below.
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* Please describe how your organization, staff and/or programs changed since March 2020?
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* Please describe the unexpected expenses related to those changes stated above.
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* I certify our organization works to reduce racial and economic disparities.
* I certify our organization is located in and serves Wisconsin communities.