COMMUNITY PROJECT

COMMUNITY PROJECT

Application Form
LOVE YOUR BLOCK

CONTACT:

16 W. 9TH STREET SHAWNEE. OK, 74801

405.476.0205 (OFFICE)

WWW.SHAWNEEOK.ORG
TEAM NAME:
DATE:
PROJECT LOCATION
Name
Full Address
City/County
Zip Code
Phone
PREFFERED METHOD OF CONTACT
Choose One
Organization or Affiliation
Please add at least 5 Community Members to will assist with the project
Community Member 1
Community Member 2
Community Member 3
Community Member 4
Community Member 5
PROJECT TYPE:
WHY ARE YOU INTERESTED IN PARTICIPATING
ARE YOU A PAST PARTICIPANT:

YesNo
Should be Empty: