Powerful Together 1-1 Form

How to use this form:

Use the conversation guide to find the intro, transition and closing words for your conversation, as well as questions you may use.

This form is for taking notes on your conversation and documenting observations about what you heard, rather than typing in the visitee's exact answers. You can include direct quotes in quotation marks. If the topic of race or privilege comes up in your one-to-one, please note that as well.

This form will be used to help Beacon and your congregation’s leadership team follow up with visitees who are interested in getting more involved. Be sure to ask for consent before gathering anyone's contact info - our uses for their contact info are detailed on the last page of this form. Please also assure visitees that your notes about their answers will be separated from their name.

How does the visitee describe their self-interest (motivation, passion, deepest concerns and hopes)?
What do they understand to be their congregation’s role in social justice?
How is the visitee or their community affected by the affordable housing crisis or homelessness?
Are they interested in working more closely with Beacon on housing or policy?
Did you hear anything else that might be important as Beacon plans for the coming years?
Please share any other notes about your conversation here.

Contact Info Consent Guide

If the visitee responds to any of the following questions with "Yes," please make sure to get their contact information so we can follow through.

If the visitee does not want to be contacted in any way, please do not collect their contact information.
Is it okay if someone follows up with them for opportunities to be involved with Beacon this year?
Would they like to receive policy action email alerts?
If they shared a personal story about experiencing housing instability, is that something they would be willing to share again in the future?
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Powerful Together: Conversations for Change