Sleeves Up for Summer Interest Form

Thank you for your interest in participating in Sleeves Up for Summer!  This effort is focused on bringing new faces and energy to COVID vaccination efforts for the month of May.  We are asking business partners and community leaders across the state to be the face of this effort, with State support.  Please let us know how you are able to be involved by completing the questions below.  Thank you!
1.Name 
2.Organization 
3.Borough 
4.City/community 
5.Phone number 
6.email 
7.Are you interested in being part of your borough’s planning committee for Sleeves Up for Summer?
8.Are you interested in being the Lead for your borough’s planning committee?
9.Do you have resources you can contribute to Sleeves Up for Summer? (check all that apply)
10.Do you need resources for your Sleeves up for Summer campaign? (select all that apply)
11.If you selected yes on any of the above options, please provide additional details below
12.Please provide additional thoughts, suggestions, or ideas below 
Current Progress,
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