Oak Park – Community Project Partnership Application

Contact Name *

First

Last

Contact Phone Number *

Contact Email Address *

to Name project

Project Name *

Organization

Select the type of organization this community project would be supporting: *

*If other was selected above, please explain

Project Location Address *

Address Line 1

Address Line 2

City

State

Zip Code

Provide a brief description of project you would like to be considered. *

Please share about the community project you would like to be considered for inclusion in Rock the Block Oak Park. We encourage you to be as detailed as possible.

If applicable, please include up to three photos of the site to help us get a better idea of your proposed project.

Click or drag files to this area to upload. You can upload up to 3 files.

Signature *

Clear Signature

Date / Time

Date

Time