Project and/or Program Submittal Form

If you see a need in Shelby County that benefits women and children, or if you are involved with a project that needs support from POWER (volunteers, financial, education, media coverage) please fill out and submit this form for our consideration.

Please be specific about the scope of the program and exactly what type of support you need from POWER. (number of volunteers, type of education, dollar amounts and how it will be spent/distributed, type of media coverage).

Thank you. We will review everyone’s input and plan accordingly. We will be in touch!

Your Name (required)

Your Address (required)

Your Town (required)

Organization's Name

Your Email Address (required)

Your Phone #(required)

Best way to contact you (phone or email):
EmailPhoneEither Email or Phone

What specific need is being requested?

Was any request submitted to the Shelby County United Way or any other agency?
YesNo

If yes, please explain.

Who will the project/program benefit?

Will the success of this project benefit Shelby County only?
YesNo

Is this project a one-time request? YesNo

If no, please give details.

Project deadline?

Please quantify your need (number of volunteers, dollar amounts (be specific), educational instructors, media coverage required):

NOTE: We reserve the right to submit images and information to various media outlets, as well as social media.

Please leave this field empty.


Past Projects:
Visit our Project Page for list of recent projects

bornlearningtrail

The Born Learning Project

 

Empowered2

Literacy & Education Project

 

POWER - Safety Town

Safety Town Project