Impact Areas Club Project Submission Form

Impact Areas Club Project Submission

Is your club doing a service project that falls into one of our four mission Impact Areas? Let us know more it can be added to the Impact Areas project library, and serve as inspiration for other clubs!

Name*
First Last
Civitan Club Name*
City, State*
Email*
Which Impact Area is your project related to?
Description of Club Project*
How long has your club been carrying out this project?
Would you be willing to share your email address on the Impact Area 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

Max. file size: 512 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

Max. file size: 512 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 in this impact area?