My Brother's Keeper Community Information Form

Dear MBK Community Leader:

Thank you for taking the time to complete the following form. We want to make sure we have your most up-to-date contact information as well as the status of your progress and plans towards completing the MBK Community Challenge. If you have any questions, please e-mail

Thank You

For your submission


Primary Point of Contact:


Alternate Point of Contact:


If you have not yet released your Local Action Plan, please provide a brief description of your progress to date and your process to complete. Be sure to let us know any early thinking on goals, activities, planned convening, etc., and any unexpected challenges or opportunities you've encountered.

*Required Field