Submission Form

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Submission Form

Formulario de propuesta en español https://forms.gle/X9bhJVCzDCsVYBYg7

First Name

Last Name

Mailing Address

Phone

Email Address

Did you brainstorm on your own? Skip next set of questions.

Yes

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Did you host a conversation?

Yes

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When?

What time?

Live or Virtual?

Live

Virtual

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With whom?

How many guests attended?

What are the problem(s) or issue(s) that will be addressed by your recommendations?

Describe your recommendation(s) and how funding would be used to implement them.

How do your recommendation(s) address the Make It Happen Guiding Principles? Specifically, how will your recommendation(s) address the root causes and conditions of systemic inequalities based on race, gender, disability, economic status or other historically marginalized or oppressed communities which predated and were exacerbated by the COVID-19 pandemic?

Additionally, how will your recommendation(s) deliver enduring change and solutions that enhance the resilience of impacted communities?

Lastly, how will your recommendation(s) transform economic opportunities and quality of life and build community assets for impacted communities for the short and long term?

Who are potential partners you would suggest working with to develop your recommendation(s) further, if it were selected as an area of focus by the Make It Happen Steering Committee?

Is there anything else you’d like the Steering Committee to consider?

Which of the following best describes you? Select all that apply.

African American or Black

American Indian or Alaska Native

Asian or Asian American

Hispanic, Latinx, or Spanish Origin

Middle Eastern or North African

Mixed Race or Multi Race (you may self-describe below if you prefer)

Native Hawaiian or Pacific Islander

White

I prefer to self-describe (move to the next question to self-describe).

I prefer not to answer.

I prefer to self-describe.

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