Community Speed Networking Event

Wednesday, August 19, 2015

Time: 2 – 4 pm

Vermont Department of Health Community Room

324 Main Street (CCV Building)

Bennington, VT 05201

Welcome all registrants! Please complete this form as fully as you can!

This form will allow for other participants to have an overview of your organization, projects, programs or events. The information provided will be included in a packet of information for each attendee, so please be sure to complete this form before Tuesday, August 18^th for inclusion.

Name(required)

Website URL

Email(required)

Organization Name

Mailing Address(required)

Address 2(required)

City(required)

State(required)

Zip Code(required)

Mission Statement

Summary: Please provide a brief description or overview of your organization/business/project. We recommend limiting your summary to a few sentences. Focus on who you serve, what you provide and the ideal outcomes. (Please limit to one paragraph of text.)(required)

Challenge: What is your most pressing challenge right now? (The challenge should be specific and one that other participants/ partners may be able to help with). For example, do you need help keeping your website updated or developing a database? Are you having trouble identifying certain resources or funding opportunities?(required)

Solution: Do you have a potential solution in mind? What do you need to get that solution across the finish line? (required)

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