Community Desk Chicago

Intake Form

Thank you for reaching out to Community Desk Chicago. We are excited about development in communities! Please complete the information below to assist us in better understanding your project.

About You

In-Take Date

Name(Required)

First Last

Business Name(Required)

Years in Business(Required)

Description of Services(Required)

Please tell us about your program, products or services.

Website

Facebook

Instagram

Most Recent Annual Revenue(Required)

Please tell us about your revenue. If you are a start-up, please enter 0.

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Project Information

Project Name(Required)

Proposed Project(Required)

Please provide details about your project (e.g., proposed location, scope of work, products and services offered.

Project Status(Required)

Please confirm the status of your project.

Proposed Project Neighborhood(Required)

Current Location of Operation(Required)

Please tell us where you are currently operating your business.

Project Site Secured(Required)

Please confirm if you have a site secured.

Proposed Project Location

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Support Needed(Required)

Please tell us how we can support your project.

Additional Information

Please Upload any additional information related to your projects such as drawings, project concept etc.

File

Drop files here or

Max. file size: 50 MB.

Community Desk Chicago Submit a Project

Intake Form

About You

Project Information

Additional Information