Non Profit |EVANSVILLE Summer Camp

Company name (or n/a if it doesn't apply)

Primary Contact name

Primary Contact Email

Primary Contact Phone

Website

Social Media handles

Briefly describe your organization and its mission:

What is the nature of the partnership/collaboration you are proposing?

If you checked "Other , please specify briefly :

Is this an existing or new initiative?

Existing Initiative

New Initiative

What phase of planning is your initiative currently in?

Alpha (Idea Stage): Gathering initial ideas, exploring feasibility.

Beta (Development Stage): Developing the initiative, testing, and refining.

Gamma (Pilot Stage): Pilot testing with a limited audience, collecting feedback.

Delta (Execution Stage): Full implementation with ongoing monitoring and improvement.

Does your initiative align with the following? (Select all that apply and explain how):

Diversity: How does this initiative promote diversity?

Equity: How does this initiative ensure equity?

Inclusion: How does this initiative foster inclusion?

Explain how your initiative aligns with either Diversity, Equity and/or Inclusion:

Is this opportunity in person, virtual or hybrid?

A curriculum is required in order to have a meeting with the CEO or Program Coordinator to schedule your school visit. Please check the box below to show you understand and agree to providing a detailed curriculum.

I understand and agree to providing a curriculum

Does this partnership request funding from Black Lemonade?

Yes

No

If Yes, please specify the amount and provide a brief justification:

How does your initiative align with Black Lemonade’s mission to invest in the minds of the community by educating and equipping all towards finding purposeful solutions that advance the work of diversity, equity, and inclusion?

What are the expected outcomes of this partnership?

What are the key milestones and timelines for this initiative?

What resources or support are you seeking from Black Lemonade (e.g., financial, volunteer, promotional)?

Please provide any additional details that would help us evaluate the fit and potential impact of this partnership.

How did you hear about Black Lemonade?

Does your organization have prior experience in DE&I work?

Yes

No

If Yes, please provide examples:

Please share any relevant documentation or materials (e.g., brochures, project proposals, budgets) that would provide further insight into your initiative:

I hereby certify that the information provided in this form is accurate and complete to the best of my knowledge.

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