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Home > Our City > All America City > Civic Empowerment Award Application

Civic Empowerment Award Application

Year 2006 Civic Empowerment Award Application

Name of Project:

Date Founded:

  1. Key Contact Persons: 
  2. Key Contact Persons: 

Phone Number:

Address:

Fax Number:

Email:

PLEASE TYPE OR PRINT YOUR INFORMATION. THANK YOU

A. Briefly describe your project that has significantly impacted the community. (200 word maximum)

B. What prompted the community or group to undertake this project? (200 word maximum)

C. What attempts were made to involve the citizens directly affected by the project in program development and to what extent were they successful? How were diverse segments of the population involved in the decision-making process? What general difficulties were encountered? (200 word maximum)

D. What significant impacts has this project had on the community? Include quantifiable results and any changes in the way the community confronts critical local issues. (200 word maximum)

E. For Project, list up to five principal groups and organizations involved. Summarize their contribution to the project.

NAME OF GROUP CONTRIBUTION

F. Identify three individuals who were active leaders. (include leaders from the government, business and nonprofit sectors.)

NAME/TITLE ORGANIZATION/ADDRESS TELEPHONE

Fax is acceptable (716) 851-4309 or E-mail: wellness@city-buffalo.org