Interest Survey

This form provides an opportunity for you to share your organization’s information with the Blue Meridian Partners team.

If you haven’t already done so, please read the For Grantseekers page before completing this form.

Items with an asterisk (*) are required

Basic Organizational Information

Organization name

Website

Founding Year

Current Fiscal Year Revenue

Current Fiscal Year Expenses

CEO (First Name)

CEO (Last Name)

CEO Pronouns

CEO Gender

CEO Email

Survey Submitted By (First Name)

Survey Submitted By (Last Name)

Submitted by Email

Interest Survey (no more than 3-5 sentences for each response)

What systemic challenge(s) is your organization focused on addressing and how does your work seek to address or solve this challenge?

Who is your organization focused on supporting and what is your current reach (number served, geographic reach) within this population?

How do you measure your organization’s impact on those you support and what are your current indicators of impact?

How will you grow your organization and/or your organization’s impact over the coming years?

How does your organization’s work center on or intersect with racial equity and/or justice?