ICMA EJ TCTAC Technical Assistance Request Form
ICMA is providing free technical assistance to support the environmental justice needs of local and tribal governments and community organizations. To help us understand your needs, please provide us with feedback by filling in and submitting this form. A member of the ICMA TCTAC team will respond as soon as possible. ICMA will use your feedback for internal use only.
ICMA is a national provider for the EJ TCTAC Program, but will also provide targeted technical assistance to Region 8. States in Region 8 include MT, ND, SD, WY, UT, and CO.
Contact Information
Name
*
First Name
Last Name
Reason for requesting technical assistance
*
Where is your need for technical assistance located?
*
Organization/Institution Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Organization Type
*
Local Government
Tribal Organization
Non-Profit/Community-Based Organizations
Private Entity
Other
Have you ever administered a federal grant?
*
Yes
No
N/A
Preferred method of communication
*
Phone
Email
Either is fine
Please verify that you are human :)
*
Submit
Should be Empty: