ROMA Next Generation COE: Use of CSBG Dollars Committee

Thanks for your interest in serving on the Use of CSBG Dollars Committee. Please provide your contact information below. We look forward to engaging with you!

Question Title

* 1. Contact Information

Name: *

Company: *

Address:

Address 2:

City/Town:

State: *

ZIP:

Email Address: *

Phone Number: *

Question Title

* 2. Organization Type

State CSBG Office

State CAA Association

Community Action Agency

Limited Purpose Agency

National Partner

Consultant/Other