Convening Room or Space Application Form Name Organization Contact Title Contact Email Phone Date of Proposed Meeting/Event Time of Proposed Meeting/Event Organization Sector Organization SectorAnimal RelatedArts, Culture & HumanitiesCivic and SocialCivic Legal AidCivil Rights, Social Action & AdvocacyCommunity Improvement & Capacity BuildingCorporationCrime & Legal-RelatedDiseases, Disorders & Medical DisciplinesEconomic DevelopmentEducationEducational ServicesEmploymentEnvironmentFieldFood, Agriculture & NutritionFunder/FoundationHealth CareHousing & ShelterHuman ServicesInternational, Foreign Affairs & National SecurityMental Health & Crisis InterventionProfessional Societies & AssociationsPublic & Societal BenefitResearch InstitutionScience & TechnologyYouth Development Is this organization a non-profit? Is this organization a non-profit?YesNo Please describe your event, goals, participants and why you are interested in Co.act Detroit* submit
