One on One Consultation App

Please complete the form below to submit your questions.

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Name *

First

Last

Title *

Name of the key organization contact who will work with the consultant *

Organization: *

Name of program (if different from organization name) *

Phone Number *

Email *

Website *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is your organization faith-based? *

Yes No

How would you describe the populations you serve *

What geographic areas do you serve? *

Please answer the all of the questions below:

Please identify the specific organizational issue your organization seeks to address with this consultant support. Please check the box that most describes your priority.

Please tell us more about what your organization/program does and how it impacts the community. How does your organization promote equity? *

Thank you for completing the application!

The Model Built on Faith consultant support is provided free of charge for selected program participants based on our assessment of potential program impact. Selected organizations are required to be active partners in building their own capacity by responding in a timely manner to consultant communications, attending all scheduled meetings, and providing necessary documentation, etc.

Please note: The number of available one on one sessions are limited. Click the button below to submit your application.

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