Permission is granted ONLY to nonprofit community-based organizations to reproduce and/or adapt this document, and only for their own use.
Complete the table below in order to define your constituents (the people who use your services).
Complete the section below for each service offered by your organization. (Photocopy as many as needed.)
Service Provided: ________________________
Constituent(s) for Service: _______________________
How does this service promote our mission?________________________________
How does this service provide for our constituents' primary housing need?
______________________________________________________________________
How many households used this service during the past fiscal year? ___________
What is our program budget for this service this fiscal year? _____________
Did we receive any revenue for this service? If yes, how much? ______________
What skills/assets do we have to provide this service that no other group does?
______________________________________________________________________
Are there other organizations that are better able
to meet our constituents' primary needs? ___Yes ___ No