Grantee Technical Assistance Form – Black Funders of St. Louis

Time & Talent enables BFSTL members and non-members to share their time and expertise (their time & talent) with Black-led non-profit organizations by offering technical assistance that increases their sustainability. If you have received a BFSTL grant, please take a moment to complete this form. We aim to match your organization with expert network for discrete engagements to support at least one of your organization's priority capacity needs.

Organization Name*

Name of Organization
Most recent year you received a grant from Black Funders of St. Louis?*
E.g., 2019
Primary Contact Person*
Who can we talk to learn more about your technical assistance needs.
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 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.
Organizational 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.
Organizational 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.
Other 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/need.
Please share background and more about the specific need. What have you 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?)
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Name
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