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2. IMPORTANT
   The HRNI Equity Team supports City of Eugene projects and teams in actions that align with our vision and mission. We are responsive to the organization within the scope of our mission and also according to our priorities and capacity. Please consider the statements below and how your request aligns with them before submitting your request for support.
   – Creating a safe, equitable and welcoming community.
   – To support equitable access to services in City government, neighborhoods and community through active and inclusive engagement.
4. Name of person requesting HRNI Equity Team support*
6. E-mail*
8. Department*
   -- Select One --Central ServicesLibrary, Recreation, and Cultural ServicesEugene-Springfield FireEugene Police DepartmentPlanningPublic Works
9. Division*
11. Division Manager and/or Department Director approved this request.

    1. Yes
    2. No
13. Description of Project/Problem*
    Describe the project, problem, or issue you are addressing, what is the need? What are your goals?
15. Assistance needed from HRNI Equity Team*
    What kind of assistance are you looking for from HRNI Equity Team? How does it further our mission? What are the short and long term benefits?
17. Available resources*
    Please talk about the time, energy and commitment your staff has to contribute to the project. What is your investment? Are their other potential community partners?
19. Baseline logistics*
    Describe the time-frame (hard or flexible?); budgeted funds?; etc.
21. Attachments
    Please upload any supporting documents
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field