ORGANIZATIONAL PROFILE
Name of Organization
Director/CEO of Organization
Address 1
Address 2
Floor/Suite
City
State
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Zip
L.A. County Supervisorial District
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L.A. City Council District
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WHO WILL BE THE CONTACT PERSON FOR THIS PROGRAM?
First Name
Last Name
Phone
E-mail

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Password

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SERVICE FIELD - CHECK ALL THAT APPLY
Aging Arts-Traditional & Folk Health-Mental
Alcohol/Drug Recovery Arts-Visual Homeless
Animal-Related Civil Rights/Social Action Housing/Shelter
Arts-Dance Community Improvement Human Services
Arts-Design Crime-Legal Related International Affairs
Arts-Interdisciplinary Cultural/Humanities Public Affairs/Policy
Arts-Literary Disabled Public Safety
Arts-Materials Economic Development Recreation/Sports
Arts-Media Education Religion-Related
Arts-Music Employment Science/Technology
Arts-Other Environment Volunteerism
Arts-Photography Food/Nutrition Youth Development
Arts-Theatre Health-General  
 
TARGET POPULATION - CHECK ALL THAT APPLY
Children (0-12) Male Caucasian
Youth (13-18) Female African American
Young Adult (19-25) Gay / Lesbian Hispanic
Adult (26-64)   Asian / Pacific Islander
Senior (65+)   Native American Indian / Alaskan Native
 
TELL US ABOUT YOUR ORGANIZATION
Annual Budget
Number of People
Served Annually

Staff Size
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