Thank you for your interest in Give Local Greater Waterbury and Litchfield Hills! Connecticut Community Foundation is obligated to ensure that bonus funds generated via Give Local are used to support work in the Foundation’s 21-town service area (Beacon Falls, Bethlehem, Bridgewater, Cheshire, Goshen, Litchfield, Middlebury, Morris, Naugatuck, New Milford, Oxford, Prospect, Roxbury, Southbury, Thomaston, Warren, Washington, Waterbury, Watertown, Wolcott or Woodbury).

If your organization does not have an office or other physical location in this area, please submit this questionnaire as soon as possible. Staff will review your request on a rolling basis and you will be notified once a decision has been reached. 

Please contact Tricia Poirier at 203.753.1315 x.130 with questions.

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* 1. Organization Name

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* 2. Organization Address

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* 3. Contact name

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* 4. Contact Phone and Email

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* 5. Provide a brief description of the services your organization provides within the Connecticut Community Foundation service area. Please also include any partners within our service area with which you collaborate to maximize your impact or eliminate redundancy.

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* 6. Provide an approximate number of people your organization served in 2022 in the following towns. Please also include what percentage these individuals represent out of your total number served.

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* 7. Please add any additional information you wish to provide. 

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