Grantee Technical Assistance Form As part of our efforts to support Black-led organizations, BFSTL is offering an opportunity to its grantees to participate in a program called Time & Talent (T&T). Time & Talent enables BFSTL members and non-members to share their time and expertise (their time & talent) with non-profit organizations and assist with building capacity and expanding resources in support of their organizational goals. If you have received a BFSTL grant, please take a moment to complete this form. We aim to match your organization with existing expertise amongst our network for discrete engagements with the goal of addressing one of your organization's priority capacity needs. Organization Name*Name of OrganizationPrimary Contact Person* First Last Contact Person's Title*Contact Person's Email* Phone*Address of Organization* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website Organization Summary*What is the mission for the organization? Organization's Target Population?*What is the target population for the organization? Organizational Priority (First Ranked)*Check the top priority area (first ranked) where the organization would like to seek support. We will aim to support one (1) of your top three priority areas based on BFSTL capacity and expertise.Select from list belowBoard DevelopmentBusiness PlanningCommunicationEvaluationExecutive CoachingFacilitationFinanceFundraisingGovernanceGrant Proposals/Grant writingHuman ResourcesInformation technologyLeadership DevelopmentLegal/LawProgram DevelopmentPublic policy and advocacyStaffing TransitionsStrategic planningOtherOrganizational Priority (Second Ranked)*Check the second priority area (second ranked) where the organization would like to seek support. We will aim to support one (1) of your top three priority areas based on BFSTL capacity and expertise.Select from list belowBoard DevelopmentBusiness PlanningCommunicationEvaluationExecutive CoachingFacilitationFinanceFundraisingGovernanceGrant Proposals/Grant writingHuman ResourcesInformation technologyLeadership DevelopmentLegal/LawProgram DevelopmentPublic policy and advocacyStaffing TransitionsStrategic planningOtherNO OTHER NEEDSOrganizational Priority (Third Ranked)*Check the third priority area (third ranked) where the organization would like to seek support. We will aim to support one (1) of your top three priority areas based on BFSTL capacity and expertise.Select from list belowBoard DevelopmentBusiness PlanningCommunicationEvaluationExecutive CoachingFacilitationFinanceFundraisingGovernanceGrant Proposals/ Grant writingHuman ResourcesInformation technologyLeadership DevelopmentLegal/LawProgram DevelopmentPublic policy and advocacyStaffing TransitionsStrategic planningOtherNO OTHER NEEDSOther priority areas*If you selected "other," please list and describe the other priority area you have. Tell us a little about the current status of the situation in this area. Please share background and more about the specific need. What has been done in this area so far?What do you hope to achieve with support of a Partner? Please be as specific and detailed as possible. (For example, how many hours per month do you think are needed to resolve the situation?)NameThis field is for validation purposes and should be left unchanged.