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Sample Checklist

An Assessment will let you know your strengths and weaknesses

Association Name __________________________________________________________

Chapter President __________________________________________________________

Primary Contact Staff _______________________________________________________

Community Outreach Consultant______________________________________________

1.     General Information                                                                           Yes  No  N/A

a.     Chapter has need for Community Outreach                                             O   O   O
b.     Chapter has contacted Primary Contact Staff                                           O   O   O
c.     Chapter has Executive Board Commitment                                              O   O   O
d.     Chapter is in negotiations                                                                      O   O   O
e.     Contacted CTA Community Outreach Consultant                                      O   O   O

2.     Outreach Committee

a.     Chapter has established a committee                                                     O   O   O
b.     Community Outreach Chair has been appointed                                      O   O   O
c.     First meeting has been scheduled                                                           O   O   O
d.     Purpose and timelines have been developed                                           O   O   O
e.     Available resources have been explored                                                  O   O   O
f.     Membership survey has been sent                                                           O   O   O
g.     Members interested in community outreach have been identified               O   O   O
h.     Shakers and movers have been identified                                                O   O   O
i.     Community database has been created                                                    O   O   O
j.     Is community outreach training needed                                                    O   O   O

3.     Evaluate

a.     Evaluation process established                                                                O   O   O

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