The Keep Application Questionaire

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The Keep Application Questionnaire

The Keep Application Questionnaire

The Keep is currently accepting applications for the 2018-2019 academic year. Contact Pastor Emily Tveite emily@lcmmadison.org or 608-257-7178 with any questions about the process, application, or eligibility.

16Questions

1
What is the name of your group?
2
Are you a Registered Student Organization (RSO) at(Consideration may be made for non-RSOs)
UW-Madison
Madison College
Edgewood College
Not an RSO
3
Main Contact NamePlease provide the name of one person who will serve as main liaison with Luther Memorial Church & Lutheran Campus Ministry
First Name
Last Name
4
Main Contact EmailPlease provide the email of one person who will serve as main liaison with Luther Memorial Church & Lutheran Campus Ministry
example@example.com
5
Main Contact Phone NumberPlease provide the phone number of one person who will serve as main liaison with Luther Memorial Church & Lutheran Campus Ministry
Area Code
Phone Number
6
OTHER CONTACTS - Please provide the names & contact information for three leaders in your project.Name, Email, Cell
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Ok
Ok
7
What critical needs does your project seek to address?
Hunger / Food Insecurity
Basic Needs (food, toiletries, etc.)
Housing Security
Environmental
Other
8
Who would benefit from your project?
The Campus Community (UW-Madison, Edgewood College, and/or Madison College)
Local Madison Community
Other
9
How will you use the space provided?
Storage of items
Office Space
Open to clients / users
Other
10
What is the purpose of your group? What is the perceived problem you are trying to solve?
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Ok
Ok
11
How do you know that this is a problem in our community? Who have you talked to or what research have you done?
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Ok
12
How long has your organization existed? How has its work developed or changed over time?
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Ok
13
What other groups are working on this problem at UW-Madison/Madison College/Edgewood College? In the local community? How is your group’s work distinct from the work of other organizations?
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Ok
Ok
14
What other groups do you have developed partnerships with? What do these partnerships look like?
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Ok
15
How do you plan to advertise to those you serve about your mission and the services you provide?
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Ok
Ok
16
How does your group reach the university/college community (through volunteers, recipients, etc.)
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Ok
Should be Empty:

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