CLUB PROJECT SUBMISSION FORM Name* First Last Civitan Club Name*City, State*Email* Does the project fall within one of the four Civitan Impact areas?Health & Wellness for those with I/DDEducation & Employment for those with I/DDAccessible & Inclusive Communities for those with I/DDFamily & Community Supports for those with I/DDDescription of Club Project*How long has your club been carrying out this project?Would you be willing to share your email address on the Club Project Library web page so others interested in carrying out this project may contact you for more information?Upload any additional documents or supplementary information related to your project. Drop files here or Select files Max. file size: 128 MB. May we upload and link this information to the Club Project Library Site? Yes No Upload any photos of your project we may share on the Club Project Library site. Drop files here or Select files Max. file size: 128 MB. Do you have any quotes or testimonials from anyone who has benefitted from the project?Is there anything else you'd like us to know about your club's work?
