Leadership Project Beneficiary Application

Leadership Project Beneficiary Application

FOR FULL APPLICANT REQUIREMENTS, please visit www.ChamberECT.com/leadership.

The Leadership Eastern CT capstone community service project offers an opportunity for the participating business leaders to work together, enacting the skills and lessons they have learned during the course of the program, in order to leave a lasting impact on the beneficiary organization and the community it serves.

Organization Name *

Organization's Mission and Community Served

Project Description *
Please outline your project proposal here, including scope, expected budget, impact on the organization and the community, and any information volunteers need to be aware of, as outlined in the applicant guidelines.

Tax ID Number

Address of Primary Location or Location Referenced in Proposal

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Primary Contact

First Name *

Last Name *

Primary Contact Email *

Primary Contact Phone Number *

Upload File (Optional)
If needed, please upload supporting documentation.

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