Inventory Data Collection Tool Inventory Tracking Form Step 1 of 4 25% First NameLast NameEmail(Required)School or College(Required)College of Agriculture, Health and Natural ResourcesCollege of Liberal Arts and SciencesLibraryNeag School of EducationSchool of BusinessSchool of Dental MedicineSchool of EngineeringSchool of Fine ArtsSchool of LawSchool of MedicineSchool of NursingSchool of PharmacySchool of Social WorkThe Graduate SchoolUniversity WideUConn Campus Affiliation(Required)UConn Avery PointUConn Extension CountyUConn HartfordUConn HealthUConn Law SchoolUConn LibraryUConn StamfordUConn StorrsUConn Waterbury Name of Program or Project(Required) Community Partnersi.e. Municipalities, NGO's, school districtsProject Website(Required)If grant funded - please indicate AgencyStart YearEnd YearBriefly describe your program. Please include mission and aims of he project (200-500 words).(Required) Category(Required)AgingArtsCivics, Democracy, and Political InvolvementCommercialization and Industry DevelopmentCriminal JusticeEarly ChildhoodEconomic DevelopmentEntrepreneurshipEnvironment, Environmental Justice, and SustainabilityEquity, Diversity, and InclusionFoodGender and SexualityHealthHousingImmigrationK-12 Education, Student Achievement, and College AccessLeadershipNeighborhood Development and City PlanningPoverty and HomelessnessRural DevelopmentSocial and Historical InjusticeTransportationVeterinary and Animal WelfareYouth and FamiliesOtherPlease enter keywords that describe your program(Required)Please use commas "," to separate each keywordDemographicsIf known, number of people reachedScope(Required)In-StateOut-of-StateInternationalIf in Connecticut, Towns impacted (Please indicate all towns)AndoverAnsoniaAshfordAvonBarkhamstedBeacon FallsBerlinBethanyBethelBethlehemBloomfieldBoltonBozrahBranfordBridgeportBridgewaterBristolBrookfieldBrooklynBurlingtonCanaanCanterburyCantonChaplinCheshireChesterClintonColchesterColebrookColumbiaCornwallCoventryCromwellDanburyDarienDeep RiverDerbyDurhamEast GranbyEast HaddamEast HamptonEast HartfordEast HavenEast LymeEast WindsorEastfordEastonEllingtonEnfieldEssexFairfieldFarmingtonFranklinGlastonburyGoshenGranbyGreenwichGriswoldGrotonGuilfordHaddamHamdenHamptonHartfordHartlandHarwintonHebronKentKillinglyKillingworthLebanonLedyardLisbonLitchfieldLymeMadisonManchesterMansfieldMarlboroughMeridenMiddleburyMiddlefieldMiddletownMilfordMonroeMontvilleMorrisNaugatuckNewingtonNewtownNew BritainNew CanaanNew FairfieldNew HartfordNew HavenNew LondonNew MilfordNorfolkNorth BranfordNorth CanaanNorth HavenNorth StoningtonNorwalkNorwichOld LymeOld SaybrookOrangeOxfordPlainfieldPlainvillePlymouthPomfretPortlandPrestonProspectPutnamReddingRidgefieldRocky HillRoxburySalemSalisburyScotlandSeymourSharonSheltonShermanSimsburySomersSouth WindsorSouthburySouthingtonSpragueStaffordStamfordSterlingStoningtonStratfordSuffieldThomastonThompsonTollandTorringtonTrumbullUnionVernonVoluntownWallingfordWarrenWashingtonWaterburyWaterfordWatertownWest HartfordWest HavenWestbrookWestonWestportWethersfieldWillingtonWiltonWinchesterWindhamWindsorWindsor LocksWolcottWoodbridgeWoodburyWoodstockStates(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificFor international, indicate country or region. You may skip the question if not applicableAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Type of Service(Required) Outreach Engagement Outreach is an activity in which you deliver a service to an individual, group, or organization. Engagement is an activity in which the activity is mutually beneficial to your team and your stakeholders, or a program that is developed and/or implemented in collaboration with the stakeholders.Please indicate whether you consent to having your responses used in the options below(Required)Publish in public websiteShare files and presentations within UConn onlyUse ONLY internally in the Office of Outreach & Engagement, do no publishEmailThis field is for validation purposes and should be left unchanged.