Dotte Love Coalition Contact Form
Help us build our community asset map and identify the strengths, needs, and goals of each coalition member. This information will support shared strategy and resource alignment as we prepare for the Community Unity & Leadership Summit.
Name
Name
*
First Name
Last Name
Email
*
example@example.com
Sign up for news and updates
*
Yes
No
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Organization or Program Info
Organization / Program / Business Name
*
Website
Social Media
Rows
URL
Facebook
X
LinkedIn
Other
What sector(s) best describe your focus? (Select all that apply)
*
Housing
Workforce Development
Public Health
Education
Civic Engagement
Youth Development
Food Access
Arts & Culture
Transportation
Entrepreneurship
Community Organizing
Other
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Briefly describe your current projects, initiatives, or services.
*
What are the biggest barriers or challenges you currently face?
*
What is your biggest value add to the coalition or community?
*
Submit
Should be Empty: