Your Initiative

Please fill out this form if you are interested in us considering your initiative for adoption [boxes should be limited to 250 words each]:

Name

First Name

Last Name

Email

Tell us about your initiative:

Is it part of an existing organization?

Do you currently have financial support for your initiative?

Yes

No

Is there another entity advancing the goals of your initiative?

If yes, why is the initiative needed?

How much of the initiative is already in place?

Do you have an advisory group of leaders already?

Yes

No

Do you hope to join Civica Initiatives as a staff person if we adopt your initiative?

Yes

No