To have your organization's project or event considered for a Community Action Project please complete the form below.
Organization/Agency *
Contact Person (First and last name) *
Street Address *
City/Province *
Postal Code *
Phone Number *
Email Address *
Project Title *
Tell us about your organization (mission, activities, clients, etc.) *
Progect Goals/Outcomes. What does your organization hope to achieve? *
Project Background: Is this a new initiative? Has your organization tried to carry out this project in the past? What were the results? *
Project Objectives: How does your organization hope to involve Leadership Windsor/Essex participants in achieving these goals? *
Project Timelines: What are the anticipated planning timelines? *
Project Budget: What resources will be required and where will these be accessed? *
What Human Resources will you be able to apply to the project? Other resources (Example: equipment, meeting location, etc)? *
Items marked with an asterisk(*) are required
Verification Code
Please enter the four letter verification code you see above