Requirements |
- A community-based nonprofit organization serving economically disadvantaged communities and/or communities of color
- Located in the Minnesota greater metropolitan area
- 501(c)(3) Certified and in operation for at least three years
- Able to provide on-going educational experience to students (For detailed program information and requirements, click here.)
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Contact Information |
Organization Name |
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| Contact Person |
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| Title |
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| Executive Director |
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| Address |
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| City |
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| State |
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| ZIP Code |
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| Phone |
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| Fax |
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| E-mail Address |
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| Web Page |
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| Year Established |
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| 501(c)3 Certified? |
Yes
No
Pending
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| Annual Budget for last 3 years: |
$
(2008)
$
(2007)
$
(2006) |
| Number of Employees |
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Please complete information below. |
What type of nonprofit organization are you? (Check all that apply.) |
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Organization Description |
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Geographically, what counties and neighborhoods does your organization serve? (Hennepin, Ramsey, Powderhorn, Phillips, Frogtown, etc…)
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| What ethnic or other constituency groups does your organization serve? |
African American
Asian American
Hispanic American
Native American
White American
Immigrant
If Immigrant, please specify:
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If Other, please specify:
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Please check the topical area for which you are requesting
community internship.
DO NOT CHECK MORE THAN TWO CATEGORIES. |
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| Describe your Community Internship in DETAIL. Please be SPECIFIC when describing the scope of this request. List the goals and objectives, tasks, timelines and proposed duties and responsibilities for the student intern. Describe how the results of this internship will benefit the community at large as well as your organization. What valued experiences will the student gain by participating in this internship? |
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Please list any specific skills, knowledge or past experiences the student should have.
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| Please share any other information about your nonprofit organization that would be useful in considering your application. |
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How did you hear about our program? (Check all that apply)
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BCED Website
CHI E-mail Notice
E-mail notice from another organization
(Please name.)
Organization Name:
Referral from another organization
(Please name.)
Organization Name:
Other
If Other, please specify:
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Please PRINT a copy for your records before clicking the Submit button. |
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