We would love to connect with you and/or your organization to sojourn in truth together! Please fill out this form to connect!
Name of Contact Person*
Phone Number*
Email*
Name of Organization
Type of Organization Non-ProfitBusinessGrassroots OrganizationProgram RepresentativeChurch or Ministry GatheringCommunity or EducationalHealth or Wellness
Briefly describe your organization or program and how you learned about Sojourner Truth Place?
# of People served by your organization monthly (no duplicates)
Organization Zip Code
Number of paid staff at your organization 1 to 5 paid staff6 to 10 paid staff10 plus paid staffNo paid staff yet
What percentage of people served annually at your organization are at or below the poverty line? 0%5%10%25%50%75%100%
What percentage of people served annually at your organization identify as male? 0%5%10%25%50%75%100%
What percentage of people served annually at your organization identify as female? 0%5%10%25%50%75%100%
Average Ages of People Served at your organization * Ages Birth to 4Ages 5–17Ages 18–24Ages 25–64Ages 65+No one served yet
What percentage of people served annually at your organization identify as LGBTQ? 0%5%10%25%50%75%100%
What percentage of people served annually at your organization are racial/ethnic minorities? 0%5%10%25%50%75%100%
What percentage of your organization's leadership &/or board members are racial/ethnic minorities? 0%5%10%25%50%75%100%
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