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The HUB: Demographics Request Form
Loaves & Fishes will incorporate HUB partner constituents’ demographics into some grant writing. Please share your organization's demographics within 30 days of signing The HUB’s MOU with Loaves & Fishes. Please contact Melissa at grants@loavesandfishesmn.org with questions about this form.
Your Name *
Your answer
Your Phone Number *
Your answer
Your Email Address *
Your answer
Organization Name *
Your answer
Organization Web Address *
Your answer
Organization Street Address *
Your answer
City, State, Zip *
Your answer
Mission Statement *
Your answer
Describe the population served *
Your answer
How many unduplicated people are served annually? *
Your answer
Race
Please indicate percent of population served. Total should equal 100.
American Indian or Alaskan Native
Your answer
Asian
Your answer
African-American
Your answer
Hispanic/Latino
Your answer
White/Caucasian
Your answer
Two or more races
Your answer
Other
Your answer
Unknown
Your answer
Age
Please indicate percent of population served. Total should equal 100.
Preschool (age 0-4)
Your answer
Child (age 5-12)
Your answer
Teen (age 13-19)
Your answer
Young Adult (age 20-25)
Your answer
Adult (age 26-54)
Your answer
Senior (age 55 and over)
Your answer
Unknown
Your answer
Gender
Please indicate percent of population served. Total should equal 100.
Female
Your answer
Male
Your answer
Transgender
Your answer
Unknown
Your answer
If applicable
Please indicate percent of population served. Total need NOT equal 100.
Low income
Your answer
LGBTQ
Your answer
Immigrant
Your answer
Veteran
Your answer
Other
Please share any other relevant information pertaining to population served
Your answer
Please click SUBMIT. Thank you for completing this demographics form!
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