Community Outreach Application

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Personal Web Page:
Describe your knowledge and experience in the community where you will be promoting the community internet project.:
Describe your background in community outreach and volunteer management:
Describe your level of knowledge and experience with web and other technologies:
Is there any other experience you have which you think would be useful to the project?: