Pro Bono Program Entry Form
Apply for pro bono services by providing your contact information and details about your project or need.
This section is about the person nominating someone else.
Nominator's Name
*
First Name
Last Name
Nominator's Email
*
example@example.com
Nominator's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
This section is about the person/property being nominated.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
The nominee lives in:
*
Sedona
Village of Oak Creek
Cottonwood
Clarkdale
Cornville
Rimrock
Lake Montezuma
Camp Verde
The nominee is a Veteran:
*
Yes
No
The nominee is a senior citizen:
*
Yes
No
The property is a "standard" residential lot:
*
Yes
No
I understand that no trash or refuse will be hauled - only brush.
*
Yes
The property is not currently for sale.
*
Correct
Briefly describe your project or need for pro bono support
*
Submit Application
Should be Empty: