Gay Community Social Services

Application

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Please print and fill out this page and mail to GCSS.

Project name:

Address:

 

Contact person:

Purpose of project/group:

 

 

 

Goals of project/group:

 

 

 

What work have you done?

 

 

 

Who is reached by your work and how?

 

 

 

In what ways does this work serve the sexual minority community?

 

 

 

How does your group work with lesbians?

 

 

 

How does your group work with bisexual women?

 

 

 

How does your group work with bisexual men?

 

 

 

How does your group work with transexual/transgender people?

 

 

 

How does your group work with queer youth?

 

 

 

Who are you? (size of group,age, sex ,race, etc.)

 

 

 

Reason for wanting to join GCSS:

 

 

 

What other groups have you worked with?

 

 

 

What is your formal organization structure?

 

 

 

What is your internal organization structure?

 

 

 

What are your average monthly revenues and expenses?

 

 

 

Who is responsible for your finances?

 

 

 

Do you have a bank account? Yes No (If yes, give name and branch, type of account,account number, and names of signatories. Attach a signature card so a GCSS board member may be a signatory. If no, how do you plan on processing income, bills, etc.)

 

 

 

Will the project be generating / buying assets? (ie: computers, videos, etc.)

 

 

 

If you have a recent financial report and/or a current bank statement, please attach them.

Additional comments about your project:

 

 

 

 

 

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