Survey | Mentoring, Training, and Empowering Communities

Survey

Personal information

Organization name

Address line 1

Address line 2

City

State/Province

Zip/Mail code

Website

Contact name

Contact phone 1

Contact phone 2

Fax number

Email address 1

Email address 2

Organizational overview

Region

Location

Organization type

Religious
Corporation
Other

Faith-based
Secular

Profit
Not-for-profit

If you are not a religious organization, what affiliation or relationship
do you have (or have you had) with religious organization(s)?

Program type(s)
Press and hold "CTRL" to select multiple choices

Years in operation

Staffing

# of full-time staff
# of part-time staff
Average # of volunteers (annually)

Predominant ethnicity of clients
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# of clients served annually

Age range of clients

Operating budget (in millions)

Financial resources

Please list the sources of revenue for the organization/ major project and the percentages of each to the total:

% Individual giving
% Corporate giving
% Contract services
% Grants
% Revenue generating
% Fundraising
% Local government
% State government
% Federal government
% Loans
% Other:

Organization description

Mission/Vision statement(s)

Please list the name and a brief description of the project(s) and service(s) of your organization

Accomplishments and impact

Of the project(s) listed above, which is the most successful and why?

What are some of the noteworthy accomplishments of your organization as a whole?

What changes have taken place within the community as a result of your project/organization?

Innovation

What ground-breaking, creative, and unique ideas is your organization employing in programs, services, and/or resource development?

Challenges

What are some of the organizational and/or project-related challenges that the organization has overcome since inception?

What challenges is the organization presently facing?

Partnerships or collaboration

List the key partnerships and alliances that contribute to or benefit from the success of your organization or major project

How were these partnership developed?

Who were the key players in developing the partnership?

Other resources and additional information

List key resources other than those listed above

List any additional websites, articles, and other material that may be helpful in understanding the scope of your organization