San Juan County Health and Community Services

This field is hidden when viewing the form

Organization Name

Number of Full-Time (Year-Round) Staff

Please enter a number greater than or equal to 0.

Number of Part-Time (Year-Round) Staff

Please enter a number greater than or equal to 0.

Number of Temporary/Seasonal Staff

Please enter a number greater than or equal to 0.

Number of Contractors

Please enter a number greater than or equal to 0.

Average Number of Volunteers per Year

Please enter a number greater than or equal to 0.

Annual Budget*

(This answer will be used to understand trends and will not be representative of your organization on public dashboards.)

Healthcare Benefits

Housing Benefits

Paid Time Off Benefits

Retirement Benefits

(The following BIPOC questions will be used to understand trends and will not be representative of your organization on public dashboards.)

What percentage of your staff identify as BIPOC (Black, Indigenous, or Person of Color)?

What percentage of your senior/executive staff identify as BIPOC (Black, Indigenous, or Person of Color)?

What percentage of your board of directors identify as BIPOC (Black, Indigenous, or Person of Color)?

General Public Served

Please enter a number greater than or equal to 0.

Schools Served Annually

Please enter a number greater than or equal to 0.

Students Served Annually

Please enter a number greater than or equal to 0.

Educators/Administrators Served Annually

Please enter a number greater than or equal to 0.

Approximately how many hours of programming per year does the average participant receive? We understand this may vary and we're looking for a rough average per participant. Your answer must be a whole number

Please enter a number greater than or equal to 0.

This field is hidden when viewing the form

Hidden Fields

DO NOT EDIT. The fields are hidden from the user but are critical for the form to function.

This field is hidden when viewing the form

Post ID

This field is hidden when viewing the form

User ID

This field is hidden when viewing the form

Last Contributor

This field is hidden when viewing the form

Assign Partner

This field is hidden when viewing the form

Date Created

This field is hidden when viewing the form

Last Updated

Welcome!

Hidden Fields

Hidden Fields

Hidden Fields

Hidden Fields

Organization Information

Section Break

Social Media

Hidden Fields