CLT Census Map Update - Remove Entity Request
This form will allow you to report an entity currently on the map as inactive. These will be reviewed by GSN Staff and you may receive follow up from the team for more information.
Click here to return to the primary CLT Census Map Update Form.
Which entity are you requesting to be removed?
What is your relationship to this entity?
Please select...
Current Staff/Volunteer/Board Member
Former Staff/Volunteer/Board Member
Other
Contact Information
Please provide your contact information so that GSN Staff can follow up for more information if necessary.
Name
Title
Email Address
Contact Information