Community Involvement Survey
In order to develop a local community outreach plan, it is important to identify members who are currently active in the community. This information will help our local Association design an effective outreach plan.
Name of member____________________________________
Site__________________________________________________
Email address_____________________ Phone______________________
1. Are you currently involved in any national, state or local organizations? i.e., NAACP, LULAC, Kiwanis Club, Sierra Club
YES____ NO_____
If yes, please list ____________________________________________________________________________
2. Are you currently involved in any local or neighborhood associations ? i.e., PTA, Homeowners Association, Neighborhood Association
YES____ NO_____
If yes, please list ____________________________________________________________________________
3. Are you currently involved in any Faith-based organizations?
YES____ NO_____
If yes, please list ____________________________________________________________________________
4. Are you currently involved in any business organizations? i.e. Chamber of Commerce, Business Roundtable
YES____ NO_____
If yes, please list ____________________________________________________________________________
5. Would you be interested in serving on the Community Outreach Committee?
YES____ NO_____
Thank you for assisting your Association in this critical outreach effort.