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Submit Your Local Initiative

Forsyth Futures makes an effort to include all local programs in the appropriate Initiascapes©. If you do not see your program in an Initiascape©, and would like to add it or update your program’s information, please fill out as much of the following form as possible.

THE PROGRAM OFFERED BY YOUR ORGANIZATION

Blue indicates required fields

Program Name:

Program Logo:

Maximum size 700K. JPG, GIF, PNG

Parent Organization: (if different than program)

Parent Organization Website:

Street Address:

Office/Department Number:

City:

State:

Zip:

Phone Number:

Fax Number:

Website:

What is the program's objective?

What year did the program start?:

What services does the program offer?

Who does the program serve?

What is the program's structure?

Non-profit

Government

For Profit

Citizen Group

Foundation

Co-operative

Other:

Which geographic areas does the program serve?

United States

North Carolina

Piedmont Triad

Forsyth County

Selected Communities within Forsyth County (Ctrl+Click)

Program Primary Contact

First Name:

Last Name:

Title/Position:

Phone Number:

Email Address:

Additional Info (optional)

What are the program's funding sources? (Choose as many as applicable)

List Grants Received:

Does this program have connections to other local organizations/programs?

Yes

Describe: