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Community Anchor Kickoff Meeting
1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Mobile
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Please enter a valid phone number.
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4
If affiliated with an organization, school, company, or group
please include here
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5
What do you think our community needs most?
Please only choose 5
Health Services and Clinic
Career Skills Training
Safe Transit, Walking, Bicycling
Access to Affordable, Healthy Food
Green Space and Nature Parks
Relaxing play and leisure activities
Cultural field trips and events
youth income opportunities
Other Learning opportunities
Sports events, tournaments,
Block parties, festivals..
Mental Health Services
Child Care Options
Other
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6
Please drag and drop to indicate our community needs by priority (1 is highest)
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7
Someone from our org will be attending on 8/29 @ 11A
YES
NO
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8
How many folks from your org will be attending on 9/26 @11a?
*
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Please enter "0" if your org will be unable to attend.
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9
What does your org need help with?
Administration
Marketing
Leadership Training
Technology
Fundraising (email, digital...)
Meeting Space
Communications/Media Relations
Programming
Services
Staff Professional Development
Transportation
Grant Writing
Data Management
Event Production
Other
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10
How would you like to be involved with our council?
Please check all that apply
attend in-person meetings
take a survey
provide feedback
recommend a stakeholder
help set up and breakdown event
help recruit adult participants
help recruit teen and young adults
volunteer at a big event
participate in a smaller working group by area/audience
Other
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11
What do you want to see in your community?
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12
How can we improve our collective youth services offering?
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13
What's your favorite summertime activity?
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14
What else would you like share?
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15
Any questions for us?
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