Connecticut Brownfields Initiative (CBI)
Municipal Assistance Program Spring 2020
Sign in to Google to save your progress. Learn more
Email address *
Organization name *
Name and title of Primary contact person for this project *
Email address of primary contact person *
What is the status of your entity *
Does your community have a brownfields inventory
Clear selection
Please provide an estimate of the number of brownfields in your community
Which of the following would you like to receive support for? *
Required
Provide any additional details on the suggested project *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Connecticut. Report Abuse