Neighborhood Project Planning Form

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Neighborhood Project Planning Form

* = Required Fields

Project* (Descriptive phrase; e.g. Northgate Garden Project - no ?the?, ?a? , etc words)

Start Date* (e.g. 10/15/10, 1/1/10)		End Date* (e.g.10/15/10, 1/1/10)

Alternate Dates
(Please list as many alternate start dates as possible so we can attempt to accommodate your project. Start Date Formats e.g. 10/15/09; 12/26/09;1/12/10)

Project Coordinator/Representative
First Name*		Last Name*

Coordinator Contact Phone* (e.g. 415-456-0988 or 456-0988)		Alternate Phone: (e.g. 415-456-0988 or 456-0988)

Coordinator Contact address*		City/State:*

Zip Code* (e.g. 99999)		Coordinator Contact Email*

The following text fields are free formatting; no edits are done. These are summary
fields with a 100 word limit. Larger reports should be emailed or mailed.
Click here for contact information.

Tasks Involved: *

Location(s): *

Approx. Number of Volunteers:

Tools/Materials: *

Time frames, Schedule: *

Safety Planning: *

Budget Planning:

Other (note):

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