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What is your mission?
   
 
 
 
What community do you serve?
   
 
 
 
What population do you serve?
 
Adults
 
Dislocated Workers
 
Disadvantaged Youth
 
Re-Entry Population
 
Disabled
 
Other
 

 
 
 
What services do/will you provide?
 
After School Program
 
Summer Camp
 
Career Counseling
 
Job Training
 
Job Placement
 
Re-Entry Program
 
Cultural Enrichment Program
 
Mentoring Program
 
Life skills Training
 
Other
 

 
 
 
Your service population are primarily of what gender?
 
Female
 
Male
 
 
 
Your service population are primarily of what ethnic origin?
 
African American
 
African
 
Caribbean
 
Latino
 
Asian
 
Caucasian
 
Other
 

 
 
 
How many people are you currently serving?
   
 
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