Request for Assessment Form : Assessment and Recognition Program : What We Do : Communities of Resilience & Excellence (C.O.R.E.), the operating name of Communities of Excellence 2026

Name of Community

Brief Description of your Community including Geographic Area (City, County, Region, etc.):

Full Name of Individual Submitting on Behalf of your Community

Organization

Title

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City

State

Phone

Is texting okay?

What level application are you submitting?

Terms and Conditions: Please check all that apply

I understand that we are requesting a formal assessment be conducted on our community as described above, and that this assessment will be reviewed by C.O.R.E. staff and volunteers.
I understand that the feedback report we receive will be shared by C.O.R.E. only if authorized by the person listed above.
I give C.O.R.E. permission to publicize the name of our community if we receive recognition.
I give C.O.R.E. permission to share our Community Profile on the C.O.R.E. public website. (Visit this link for an example of how the information is displayed).

Please note that the following fees apply:

You will receive an invoice within 3 days of submission.