Questions marked with a * are required
Grantwriting Questionnaire
Are you in the process of writing for grant funds right now?
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Yes
No
If so, to which funding source are you applying?
What area (such as drugs, bullying, dating violence) are you addressing with your grant?
Hazelden Foundation has grant toolkits for the following products. Which toolkits would you like to receive?
Olweus Bullying Prevention Program
Safe Dates
Project Northland
Class Action
Hazelden Foundation also has information about the following other evidence-based programs that could be used in writing a grant. Which programs would you like more information about?
Protecting You/Protecting Me
A New Direction
Living in Balance
Matrix
Matrix Model for Teens and Young Adults
Co-occurring Disorders Program (CDP)
Who is your target audience? Check all that apply.
*
Elementary school students
Middle school or junior high students
High school students
Recovering adolescents
Adults in treatment
Adults in correctional institutions
Parents
Community coalitions
Other
Tell us about you and your program and community:
Name
*
Position
*
Organization
*
Size of organization (such as students, staff, or clients)
*
Mailing Address
*
Email
*
Phone
*
Please contact
bgreydanus@hazelden.org
if you have any questions regarding this survey.
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