Organizational Information

This survey is designed to help organizations understand their eligibility for an Impact 100 Essex grant. 

* 1. What is the name of the organization?

* 2. Please list the name and title of the contact person.

* 3. What is the email address and best phone number to reach the contact person?

* 4. Please write 2-3 sentences describing your project. This will not be used to evaluate your proposal, but rather as an opportunity for us to get an early glimpse at the type of proposals we are receiving.