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SHIP COMMUNITY PARTNER AWARD APPLICATION 2023 <br />Prior to completing this application, please review the Anoka County Community Partner Award Instructions. <br />For questions about the application, including assistance in completing the application (additional formats, <br />translations, etc.) please email SHIP@co.anoka.mn.us or call 763-324-4200. <br />Organization/Grou <br />Today's Date <br />Information <br />Organization/Group Name <br />Org mania zation/Group Address <br />Name of Primary Contact <br />Phone Number of Primary Contact <br />Email Address of Primary Contact <br />What is preferred method of <br />contact? <br />Organization/Group Background <br />Which option best describes your primary organizational structure? <br />❑ For -profit I ❑ Non-profit - 501(c)3 I ❑ Non-profit — Other: ❑ Public <br />Agency/Government <br />Which options best describes your organization's industry or primary focus? (Mark all that apply) <br />❑ Retail ❑ Manufacturing ❑ Human Services ❑ Sales/Consulting ❑ Business Services <br />❑ Insurance ❑ Real Estate/Housing ❑ Information Technology ❑ Environmental Services <br />❑ Faith Community ❑ Advocacy/Outreach ❑ Arts ❑ Media/Communications <br />❑ Agriculture ❑ Education ❑ Healthcare ❑ Trades/Construction ❑ Other: <br />Give a brief explanation/background of your organization/group. <br />1 <br />