Oak Park – Community Project Partnership Application

Contact Name *

First

Last

Contact Phone Number *

Contact Email Address *

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.

/ a supporting:

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