First Name*
Last Name*
Job Title
Phone
Email*
Name of Organization *
Address
Website / URL
Annual Report or Strategic Plan
How many full-time employees does your organization have?
1-10
10-25
25-60
60-100
100+
In which geographic regions does your organization operate, and how many clients do you serve in each of those regions? *
Could you provide a brief description of the project or assessment your organization intends to pursue?
How does your agency anticipate benefiting from our Tech For Change Grant? (e.g. Sustainability, Operational Excellence, Capacity Building, etc.)
Has your agency secured full or partial funding to advance these initiatives?
What is the expected timeline for your current project? Please specify any critical dates.
What specific resources do you need from Process Fusion to successfully achieve your project goals?
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