Uplift Capital Consultation Questionnaire

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Organization/ Company Name

Name

First

Last

Phone Number

Website

What is the Primary Mission of Your Foundation or Nonprofit?

Years in Operation

Number of Employees

Areas of Interest (Select All That Apply)

What Are Your Current Challenges or Goals? (Briefly describe any specific challenges, opportunities, or goals you'd like to address)

Are (Briefly goals

Monthly Budget For Consulting/Additional Services

Additional Notes or Questions (Is there anything else we should know before the consultation?)