Cool Block Leader

Cool Block Leader

Thank you for joining as a Cool Block Leader for the Cool City Challenge. Please help us select your cohort by completing the form below:

Please select your city:(Required)

How did you find out about Cool Block and the Cool City Challenge? We want to thank our partners!

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Team

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User

Contact(Required)

Partner Email(Required)

Phone(Required)

Phone Type

Do you have a Co-Leader?

Co-Lead Name

Co-Lead Email

Co-Lead Phone

Co-Lead Phone Type

Housing

Owner

Renter

Other

Other Housing: Please describe.

What is your neighborhood council? (If you know)

Do you belong to an HOA? If so, which one?

Address(Required)

Choose your first choice for a start date:(Required)

Choose your second choice:(Required)

Please select your primary language.

Languages: Please select any primary languages other than English on your block.

Other Language(s)

Is there anything further that you would want us to know?

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Comments

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Application Available June 1st.