Fund for Public Conversation Application Form Questions

Please fill out the following information about your project and we'll get back to you as soon as possible!

• Name:

• Email:

• Organization:

• Website:

• Organization Type:
  --None--
  Community
  Coalition
  Library
  Media
  Educational Institution
  Government
  Foundation
  Corporation
  Community Member
  Other

• Please provide a summary of your intended project in 250-500 words

• Please list your top 3 goals for this project

• What is your current relationship with the community you would like to hear from?

• How will you share the learnings from your project?

• Anticipated start date:

• Anticipated end date:

Cortico is a non-profit 501(c)(3) organization led by a multidisciplinary team of experts in community engagement, technology and non-profit management. We strive to meld two elements not typically found in one space: technological innovation and community-centered advocacy. We'd love to keep you up to date on what we're doing!