Apply for a lab Name(Required) First Last Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your neighborhood group, nonprofit organization, or congregation affiliation?(Required) Which Neighborhood Lab are you requesting?(Required) Neighborhood Event Lab (2 hours) Neighborhood Project Lab (6 hours) Neighborhood Well-Being Lab (2 Hours) Labs are designed for 10-15 people who live within walking distance of each other. Do you have a group together already, or will you need to recruit a group?(Required) I have a group together I need to recruit a group Do you have access to a meeting space in your neighborhood, like a community center, library, or church?(Required) Yes No Describe your neighborhood in 100-200 words.(Required)*Note: The project grant must be used to fund a new project generated by the participants of the lab. It is not available to fund existing or pre-planned projects. *We do not share your address with any third parties.
