2023 Letter of Intent - Healthy Built Environment

1. Applicant Name (organization, non-profit, etc. NOT an individual) *This question is required.

2. Which county will the project take place in? *This question is required.

3. Descriptive Project Title (7 words max) *This question is required.

4. Contact Person Name *This question is required.

5. Contact person email address *This question is required. This question requires a valid email address.

6. Please re-confirm email address *This question is required. This question requires a valid email address.

7. Contact person phone number *This question is required.

APPLICANT INFORMATION