Prince George's SOAR Organizational Profile

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Page 1

Information

Here is what you need to fill out this form:

Name of executive director and board chair
Mission statement
Brief listing of program offerings
Demographics of target population
Agency budget for the last three years

Organization Contact Details

Organization Name:

Org Phone:

Org Email:

Website:

Organization Address:

Address Line 1

Address Line 2

City

State

Zip Code

Executive Director Contact Information

First Name:

Last Name:

Phone:

Email:

General Information

Please provide your organization's mission.

Year Founded:

Please provide a brief history of your organization.

	Board Chair:	Executive Director:	Founder(s):
Leadership - Provide the names for each leadership position

Please provide any recent recognition your organization your organization has received, including any awards, media coverage, and/or research and publications.

Please select which subject area your organization primarily addresses.

Programs and Participants

Please share the geography (e.g. towns, neighborhoods, schools, etc.) and the demographics of the participants you serve.

Please describe your programs and or services. Include the age groups, number of people served, and desired outcomes.

Budget and Funding

Please list your annual budget for the past 3 fiscal years.

Please share the break down of your funding sources for the most recent fiscal year (i.e. individual donors, corporations, governments, foundations).

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Contact Information