Community Impact Partner Application

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Do you have data to share? Do you need data that is hard to find? Looking for specific data? If so, join one of our Quality of Life working groups. We gather to learn about the data needed to drive positive social change for Nevada's tomorrow.

Email *

APPLICANT NAME: *

DATE: *

YYYY

AGENCY (if applicable):

EMAIL: *

PHONE: *

Please indicate which quality of life categories you represent (check all that apply): *

Representative for non-profit or community organization

Representative of local agency

Representative for local business

Representative for local government

Representative for public safety

Representative for university, college, and/or other research institution

Representative for a foundation or other community impact funder

Individual community member

Other:

Required

Please indicate which current working groups you would like to serve on:

Health & Wellness

Economic Wellbeing

Education & Lifelong Learning

Land Use & Infrastructure

Natural Environment

Civic & Neighborhood Engagement

Public Wellbeing

Arts & Cultural Vitality

Please describe why you are interested in joining the Community Impact Partnership

Please describe how you can contribute to the work of Nevada Tomorrow and the Community Impact Partnership

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