Submit an Idea

Name of Community-Based Organization:*

The name of your community-based organization.

Your Name*

First Last

Your Phone Number*

Your Email Address:*

Name of Project:*

Project Address:*

Project Address

Street Address Address Line 2 City State ZIP Code

Describe your organization’s work:*

Your organization’s mission statement:

Describe the project:*

How is the project important to your organization’s mission?*

Is there a specific deadline for this project’s completion?*

What is the deadline?