To be considered for participation in one of the upcoming Project Impact cohorts in Oregon, please submit the following application.  We will be in touch to let you know options for participating in Project Impact.  Thank you.

For which Project Impact cohort are you applying? *
Primary Contact Name *
Primary Contact Name
Preferred Phone *
Preferred Phone
Organization's Address
Organization's Address
Please note that teams will be comprised of 2-5 people (talk to us if you want more). At least one person on each team should be in a position to influence organizational direction. Teams should also include at least one person with frontline expertise. Board members are also encouraged to participate. ED participation is not required but is encouraged.