Forms • Purcellville • CivicEngage

Job Card for CCB's

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CCB Name:*
Name of Activity:*
CCB Point of Contact:*
Staff Point of Contact:*
Strategic Initiative Alignment::*
Action Agenda Alignment:*
Brief Description:*
Project Objective:*
Desired Outcome:*
Critical Path Milestones:*
Recommended Coordination:*
Estimated Cost:*
Estimated Time to Implement:*
Town Council Support:*
Please attach any supporting documentation to include cost estimates, drawings/diagrams, or any other information that you feel would be useful to the Town Council and staff.

* indicates required fields.