Project or Initiative Intake Assessment

Got a project or initiative to tell us about?

Please help us by filling out this form below:

Please enable JavaScript in your browser to complete this form.

What is the name of your initiative or project?

List the goal(s).

Who are the stakeholders?

Stakeholders are those individuals, groups, or entities with an interest in or affected by the initiative or project.

Who are the champions?

Champions are those individuals, groups or entities who are leading or supporting the initiative or project.

How does it support the BPNA Mission?

Who within the neighborhood is/are working on it?

Who outside the neighborhood is/are working on it?

Is there an existing committee structure? If so, describe briefly.

Provide an estimated date or timeline. (If applicable.)

If not applicable, then so state.

Provide an estimated budget, including sources of income and expenses. (If applicable)

If not applicable, then so state.

What is your "ask" of the BPNA? (Choose one.)

Awareness
Action

Are you asking the BPNA only to become better aware of the project or initiative? Or, are you asking the BPNA to do something or take an action?

Describe your "ask" of the BPNA specifically and succinctly.

About You

Name

First

Last

Email (Again, to Verify)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Type of Phone

Landline
Mobile / Cell

Message

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Project or Initiative Intake Assessment

Got a project or initiative to tell us about?

About You

Share this:

Like this:

ATTENTION Plaque Donors: Tell Us Your Preferences (Click on Image Below)

PHOTOS AVAILABLE: Puttin' on the Ritz with Lamppost Glitz - Saturday, August 17 (Click on Image Below)

Like Us on Facebook