Contact Request Form

This submittal form is designed to help agencies and community groups identify stakeholders and partners for community engagement throughout the region. Complete and submit the form and a member of the SNS team will follow up by telephone within 5-7 days. Following a brief introductory call, we will provide you with a starter list of contacts related to your community engagement project.

For help identifying your issue areas or for examples of organizations working in your area of focus, download the Issue Areas list.

PLEASE NOTE: The SNS contact list should not be viewed as a “complete” list but a baseline of contacts for beginning your engagement process.

    Your Name (required)
    Your Email (required)
    Your Telephone (required)
    Southern Nevada Agency / Jurisdiction
    Briefly provide the desired outcomes and goals for your project:
    What Southern Nevada Strong Goals and/or Strategies is the project addressing?
    (SNS Goals: IECE ICC ITC BCI)

    Improve Economic Competitiveness & EducationInvest in Complete CommitteesIncrease Transportation ChoiceBuilding Capacity for Implementation
    Issue Areas (Mark all that apply)

    Arts/CultureBanking/FinanceBicycle/PedestrianCivil RightsEconomic DevelopmentEducationEnvironment/SustainabilityFaith-basedFood/NutritionHealth/MedicalHousingParks/RecreationPhilanthropy/FoundationsPlanning & Public WorksPublic SafetyPublic UtilityReal Estate DevelopmentSocial ServicesTransportation/TransitWorkforce Development
    Audience Focus (Mark all that apply)

    Disability groupsMinority groupsSeniors (≥ 65 years old)VeteransWomenYouth (< 18 years old)
    Geography (Mark all that apply)

    Boulder CityCity of HendersonClark CountyCity of Las VegasCity North Las VegasCity MesquiteRuralUrban