Leadership Essentials 2025 Community Impact Project Host Application

CONTACT INFORMATION

Organization Name*

Organization Web Address*

Primary Contact First Name*

Primary Contact Last Name*

Primary Contact Title*

Primary Contact Email Address*

Primary Contact Phone Number*

Name of Executive Director/President/CEO (If different than person submitting application)

CEO Email

CEO Phone Number

ORGANIZATIONAL STATEMENTS

What is your organization's mission?*

What specific issue would you like the team to address?*

What are the intended outcomes of the project?*

How will this project benefit your organization and your stakeholders?*

How will your organization use the project results or sustain the team's efforts?*

What skills are needed to successfully carry out this project?*

How many hours per week would you estimate this project will require?*

What potential complications or pitfalls do you anticipate the team may face as it tackles this project?*

In addition to the primary contact listed above, will anyone else be involved in supporting this project?*

Yes

If yes, please provide the following details:

Secondary Contact Name

Secondary Contact Title

Secondary Contact Email

Secondary Contact Phone Number

Thank you for your interest! Please contact Katherine Keefe at Kkeefe@loyola.edu if you have any questions.