Harbor Education/Recreation Scorecard Survey - MWA Only

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1. Organization Information:

Organization Information:   Organization Name:
Website (if available):
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP:
Key Contact Name:
Organization Email:
Organization Phone:

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2. What is your group's primary focus? (Please choose all that apply.)

What is your group's primary focus? (Please choose all that apply.)   Public health (including mental health, crisis intervention, health care) Education Housing and shelter Community improvement and capacity building Environment (including gardening, forestry, water and air protection) Animal related Human services (including day care, family services) Employment, job related Legal services, civil rights Arts, culture Recreation and sports (including birding and angling) Crime, criminal justice International, foreign affairs, and national security Research in science, technology, and social sciences Religion related Private grantmaking foundation Seniors Youth Transportation related Development (including business, community, real estate)

Other

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3. Please describe in detail the boundaries of where your group works in the NYC region. (Be as specific as possible and you can list multiple locations.) For example:

-- “On Wyckoff St. between Court St. and Smith St”
-- “Lower Manhattan south of Canal St.”
-- “the Arthur Kill between Staten Island and New Jersey”
-- “All of the shoreline in the Hudson River Estuary”
-- “all of ZIP code 10007”

Please describe in detail the boundaries of where your group works in the NYC region. (Be as specific as possible and you can list multiple locations.) For example: -- “On Wyckoff St. between Court St. and Smith St” -- “Lower Manhattan south of Canal St.” -- “the Arthur Kill between Staten Island and New Jersey” -- “All of the shoreline in the Hudson River Estuary” -- “all of ZIP code 10007”

4. What is the group's mission statement?

What is the group's mission statement?

5. What year was organization founded?

What year was organization founded?

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6. At which types of sites does your group physically work? (Please choose all that apply.)

At which types of sites does your group physically work? (Please choose all that apply.)   Water - Watershed / Sewershed Water - Stream / River / Canal Water - Waterfront / Beach / Shoreline Water - Open Water Land - “Natural” / Restoration Area Land - Park Land - Community Garden Land - Vacant Land Land - Playing field / Ballfield Land - Dog run Land - Street tree Land - Botanical garden Land - Greenway / Rail-trail Land - Flower box / Planter Land - Public right of way (e.g. street ends / roadside / traffic island / greenstreet) Land - Urban farm Building - Green building Building - Rooftop Building - Courtyard / Atrium / Plaza Building - Front yard / Back yard Building - School yard Building - Apartment grounds

7. How many of the following does your organization have? (Please choose the appropriate range in each category.)

	0-1	2-3	4-5	6-10	11+
Paid Staff	*How many of the following does your organization have? (Please choose the appropriate range in each category.) Paid Staff 0-1	Paid Staff 2-3	Paid Staff 4-5	Paid Staff 6-10	Paid Staff 11+
Volunteers	Volunteers 0-1	Volunteers 2-3	Volunteers 4-5	Volunteers 6-10	Volunteers 11+
Members	Members 0-1	Members 2-3	Members 4-5	Members 6-10	Members 11+

8. What is your group’s annual budget? (Please choose one range.)

What is your group’s annual budget? (Please choose one range.)   $0-$1,000 $1,000-$10,000 $10,000-$50,000 $50,000-$100,000 $100,000-$200,000 $200,000-$500,000 $500,000-$1 million $1-$2 million $2-$5 million $5 million +

9. Who are the groups/organizations in each of the following categories with which you collaborate most intensely. Who are the groups/organizations in each of the following categories with which you collaborate most intensely.   Business group 1 Business group 2 Business group 3 Civic/community/nonprofit group 1 Civic/community/nonprofit group 2 Civic/community/nonprofit group 3 Government agency 1 Government agency 2 Government agency 3 School group 1 School group 2 School group 3

10. And how do you collaborate?   Conduct joint projects Share information Share Resources Share core members Have personal ties . *And how do you collaborate? . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties . . Conduct joint projects . Share information . Share Resources . Share core members . Have personal ties

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11. What types of services does the group currently provide? (Select all that apply.)

What types of services does the group currently provide? (Select all that apply.)   Educational curricula Plant materials and equipment Grants Public relations or outreach Legal resources Technical assistance Community organizing Data Buildings or facilities Labor (volunteers, students, or interns) Computing or internet

Other (please specify)