Form Center

2. 

4. Application for Event & Programming Partnership

   Please provide the information below and a department representative will contact you regarding options for community involvement with our organization.  

   For additional inquires or to discuss potential opportunities further, please contact us at civilrights@orangecountync.gov.

8. Name
9. Email Address
11. Organization
13. Address
15. City
16. State
17. Zip Code
19. Phone Number
23. Describe your event or program proposal
25. Location
26. Expected Attendance or Participants
28. Event Date and Timeframe
    Event Date and Timeframe Start Date

    Event Date and Timeframe Start Time

    —

    Event Date and Timeframe End Date

    Event Date and Timeframe End Time
30. How would you like the Orange County Office of Civil Rights & Civic Life to assist?

    Please select from the following options

    1. Program Collaboration
    2. Event Sponsorship
    3. Community Partnership
    4. Training & Education
    5. Other
31. If other, please describe
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field