Heartland Challenge Community of Practice Application Applicant Information Question Title * Full Name Question Title * Title (if applicable) Question Title * Organization (if applicable) Question Title * Address Question Title * City Question Title * State Question Title * Zip Code Question Title * Phone Number Question Title * Email Question Title * Website Question Title * Is your organization a 501(c)(3) or 501(c)(6)? Yes No Question Title * Do you work with entrepreneurs primarily in the Heartland region (Missouri, Iowa, Nebraska, and/or Kansas? Yes No Question Title * Which states are your primary service area? Missouri Iowa Nebraska Kansas Next