Intake form

Name *

Email address *

What is your role in the community?

Please select at least one option.

Local Entrepreneur

Community Organization Leader

Investor

Volunteer

What areas of interest do you have regarding community initiatives?

Please select at least one option.

Affordable Housing

Arts Programs

Sustainable Products

Community Development

Education and Training

Health and Wellness

Environmental Initiatives

How did you hear about c3 community partners DAO LLC?

Are you interested in becoming a founding partner?

What skills or expertise can you contribute to our initiatives?

Additional questions or comments

c3 Community Partners DAO LLC