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P a g e 6 o f 2 3 <br />Collaborators: Please provide the following information about all significant collaborators and partners <br />whether or not they will be receiving grant funding for this project. Feel free to copy and paste <br />Questions “a” through ”e” as needed if you have more than one significant collaborator/partner: <br /> <br />a. Date of Incorporation <br />(Month/Year): <br /> <br /> b. Applicant organization’s <br />Purpose/Mission (2-4 sentences): <br /> <br />c. Please provide a brief description <br />of your organization’s past <br />achievements in carrying out <br />similar projects and evidence of <br />successful record of meeting <br />proposed budgets and <br />timetables (2-4 sentences): <br /> <br /> <br /> <br />d. Living Wage: Does this <br />organization pay permanent <br />employees a minimum living <br />wage? (Yes / No) <br /> If yes, is this <br />organization an <br />Orange County <br />Living Wage <br />Certified Employer? <br />(Yes / No) <br /> <br />If no, please briefly <br />explain. <br /> <br />e. Schedule of Positions: <br />a. Number of Full-Time Paid <br />Positons: <br /> <br />b. Number of Part-Time Paid <br />Positions: <br /> <br /> <br />c. Number of volunteers: <br /> Average hours <br />worked per <br />volunteer per month <br /> <br />DocuSign Envelope ID: FC54AC26-7897-4270-8EA1-D754CD59EA76