Name of Organization:

Name(s) of Organization Leadership

1. Name:

Title within Organization:

Contact Information:

Email Address:

Cell phone (optional):

2. Name:

Title within Organization:

Contact Information:

Email Address:

Cell phone (optional):

3. Name:

Title within Organization:

Contact Information:

Email Address:

Cell phone (optional):

4. Name:

Title within Organization:

Contact Information:

Email Address:

Cell phone (optional):

Advisor Information:

Name:

Email:

Goals for 2008-2009: please give an overview of goals for the following year, including methods for achieving goals, that the leadership of your organization is committed to this year.

1.

2.

3.