Organization Information Form

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Organization Information FormNicole Baran2020-04-22T18:44:48+00:00

Organization Information Form

Thank you for your interest in the grant program of The Peggy and Jack Baskin Foundation. The Foundation does not accept unsolicited proposals. However, please fill out this information form and we will contact you if we are interested in learning more about your organization. Fields marked (*) are required.

Organization Name (as it appears on 501(c)(3) letter): (*)

Mission (*)

Priority Area (*)

Girls in EngineeringGirls in STEMGender/Women's StudiesWomen in Public PolicyMedia LiteracyWomen Re-entering the WorkforceTransitional Housing Program for Survivors of Relationship AbuseLegal Services Programs for Survivors of Relationship AbuseLegal Advocacy for Immigrant WomenReproductive Rights and JusticeOther

What Needs Funding? (*)
General OperatingSpecific Program

Geographic Location

Does the organization fit our regional focus of Monterey and Santa Cruz Counties? (*)
YesNo

Description (2 sentences) (*)

Were you referred by a board member of the Baskin Foundation? (*)
YesNo

If yes, which one:

Contact Information

Contact Name (*)

Street Address (*)

City, State, Zip (*)

Email (*)

Confirm Email (*)

Phone (*)

Website (*)

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