Pre-Application

1Contact Information

2Eligibility

3Help us get to know you and your community

4Review and Submit

Organization Name

Layout

Contact Name

Contact Number *

Contact Number

Title

Job Title

Town(s) your organization is located in:

Town(s) your organization is located in

Email *

Confirm Email

1. Is your organization located in one of the following parishes that was impacted by Hurricane Ida? Select all that apply..

Ascension
Assumption
East Baton Rouge
East Feliciana
Iberia
Iberville
Jefferson
Lafourche
Livingston
Orleans
Plaquemines
Pointe Coupee
St. Bernard
St. Charles
St. Helena
St. James
St. John the Baptist
St. Martin
St. Mary
St. Tammany
Tangipahoa
Terrebonne
Washington
West Baton Rouge
West Feliciana

2. Is your organization any of the following?

Designated by the IRS as a 501(c)(3) organization
A non-501(c)(3) organization with a fiscal sponsor
A tribal organization (this includes both Federally or State recognized tribes AND unrecognized tribes)
None of the Above

3. Does your organization support the disaster resilience of marginalized and underserved communities (i.e. does it enhance the community’s ability to adapt, withstand, and recover from disaster)?

Note: Resilience is the ability of an individual or community to absorb shocks (i.e., major disruptions to everyday life such as natural disasters) while maintaining functioning and adapting in productive ways. Individuals, families/households, communities, and cultures can demonstrate resilience and there are different types of resilience such as social, economic, environmental, emotional, and psychological, etc.

4. I have reviewed Tulane University’s template agreement and if selected would be willing to sign such an agreement.

5. If selected, is your organization able to commit to sending a representative to participate in the following activities in addition to carrying out the proposed project: Group concept mapping study, six-module training course, a conference to showcase your work? (Details about these activities can be found in the links below)

Note: For continuity purposes the same individual acting as a representative should participate in each of the activities.
Group concept mapping study
Six-module training course
Conference to showcase your work

6. Briefly tell us how Hurricane Ida directly impacted your organization AND the population you serve.

7. Please provide us with an organizational overview.

8. Please select, if applicable, which of the historically marginalized or underserved communities your organization serves.

Asian American /Native Hawaiian /Pacific Islander
Black /African American
Hispanic /Latino /Latina /Latinx
Native American /Alaskan Native
Multi-Racial /Multi-Ethnic
LGBTQIA+
People with Disabilities
Women
None of the Above

9. Now tell us how your organization is serving the group(s) you selected above. Where possible, provide statistics of the demographic (race, gender, etc.) for the geographic region and the number your organization serves (where data isn’t readily available an estimation is appropriate).

We recommend using the data from the Census Bureau which can be found here.
Additional resources can be found here.

10. What are one or two needs that you’ve identified in your community that you feel you could effectively address with additional resources? (i.e. ~$15,000) Please specify what type of additional resources you would need.

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Pre-Application

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