* 1. Name

* 2. Organization

* 3. E-mail Address

* 4. Phone number

* 6. Project Title 

* 7. Please include a summary of your project not to exceed 150 words. Describe the impact or benefit of this project to Erie and how it ties in with building resilience to climate change.

* 8. Please upload an image (png, jpg, or gif) that describes or represents your project. 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 9. If applicable, list any existing websites or links for your project

* 10. Please include an address for the project and if known, GPS coordinates in decimal degrees. If unknown, please respond N/A. 

* 12. Select the categories with which your project fits

* 13. Select topics with which your project fits (select all that apply)

* 14. Several project funding prizes up to $500 will be awarded for winners of oral and poster presentations. Please state if your project would benefit from one of these funding awards and how the funding would be used.

* 15. Please provide any additional project information you would like to include, such as funding source, total project cost, project partners, etc.

* 16. Breakfast and lunch will be provided. Please list any dietary restrictions here

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