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2022 Pro Bono Facilitation Grant Application

Your Name(Required)

About Your Organization

Please tell us about your organization.
Organization Address(Required)
Name of Your CEO/Executive Director (If NO CEO/ED, Provide Board Chair's Name)(Required)

Meeting Facilitation Grant Purpose

Please complete the folowing section.
Purpose of Meeting(Required)
Please choose from the following:

Length of Meeting(Required)
Please choose from the following:
Please tell us about the meeting you would like us to facilitate. Please provide as much detail as possible, including your desired outcomes and deliverables.
Please select your desired meeting date.
MM slash DD slash YYYY
Please select an alternate date.
MM slash DD slash YYYY
Please tell us where the meeting will be held, if known at this time.
Acknowledgements & Consent(Required)
Please review the following and indicate your agreement by checking each box below.
This field is for validation purposes and should be left unchanged.

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