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Community Involvement Survey

 

 

Community Involvement Survey

 

In order to develop a local community engagement plan, it is important to identify members who are currently active in the community. This information will help our local Association design an effective engagement 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 Engagement Committee?

YES____ NO_____

 

Thank you for assisting your Association in this critical engagement effort.

Every child deserves a chance to learn and no child succeeds alone.

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