EM Mini-Grant Survey - Community Clinic Association of Los Angeles County

Job Title(Required)

Email(Required)

Organization(Required)

What has it been spent on? If you haven't spent it yet, what will it be spent on?(Required)

How has this mini-grant helped you? Please share some highlights/outcomes.(Required)

When was it used? If you haven't used it yet, when will it be used?(Required)

Please share any additional information and/or comments.