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Thank you for applying to join a Project Impact cohort. Please provide a little information about your organization below to help us ensure Project Impact is a good fit. After you apply, a member of the team from Dialogues in Action will reach out to you to set up a time to discuss the details of Project Impact and answer any questions you have.

Primary Contact Name

First Name

Last Name

Primary Contact Email

Primary Contact Phone

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Primary Contact's Role in Organization

Organization Name

Organization's website

What is your organization's approximate annual budget?

What do you and your organization hope to gain from participating in Project Impact?

How will your organization ensure that your team can dedicate the time needed to participate in the workshops and complete the work between Project Impact sessions?

Is there anything else you would like us to know?

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