ProsperUs Service Provider Profile Survey

Service Provider Profile

ProsperUs is asking community organizations working to support children and youth to complete a profile survey. This will help us learn more about the supports available across Windsor and Essex County.

ProsperUs is a cross-sector, collective impact partnership comprised of non-profit, government, health care, education, labour, business, and inspired community members with a shared vision of a prosperous Windsor-Essex County where every young person has the opportunity and support to succeed from cradle to career.

For more information about ProsperUs and our work, please visit our website: https://weunlockpotential.com/

If you have questions about this survey, please contact:

Alicea Fleming

Manager of Community Development and Investments

United Way/Centraide Windsor-Essex County (Backbone organization for ProsperUs)

afleming@weareunited.com | 519-259-6174

Question Title

* 1. Name of Organization

Question Title

* 2. Primary Contact Information

Name

Position/Title

Mailing Address

City/Town

Province

Postal Code

Email Address

Phone Number

Question Title

* 3. What is your organization's mission/mandate?

Question Title

* 4. What areas of Windsor-Essex County do you serve? (select all that apply)

West Windsor

Downtown Windsor

East Windsor

South Windsor

Tecumseh

Lakeshore

LaSalle

Amherstburg

Essex

Kingsville

Leamington

Other (please specify)

Question Title

* 5. What age range of participants do you serve? (select all that apply)

Early Years (0-6)

Middle Years (6-12)

Younger Youth (12-18)

Older Youth (18-29)

Adults

Older Adults (55+)

Question Title

* 6. Please indicate the focus areas in which your organization currently provides services. (select all that apply)

Mental Health

Education

Housing

Employment

Social Support

Food and Nutrition

Other (please specify)

Question Title

* 7. Please provide a brief summary of the direct interventions you provide to children and/or youth and their families. (may use point form)

Question Title

* 8. If you deliver any of these interventions with collaborative partners, please list the partner organizations.

Question Title

* 9. Please provide links to your website or social media accounts.

Website

Facebook

Instagram

Twitter

Question Title

* 10. Please upload impact reports, annual reports, or any other documentation demonstrating impact of your programs.

You may upload PDF or DOC file types. Please ensure the file name includes your organization name.

PDF, DOC, DOCX file types only.

Choose File

ProsperUs Service Provider Profile Survey

Service Provider Profile

Question Title

* 1. Name of Organization

Question Title

* 2. Primary Contact Information

Question Title

* 3. What is your organization's mission/mandate?

Question Title

* 4. What areas of Windsor-Essex County do you serve? (select all that apply)

Question Title

* 5. What age range of participants do you serve? (select all that apply)

Question Title

* 6. Please indicate the focus areas in which your organization currently provides services. (select all that apply)

Question Title

* 7. Please provide a brief summary of the direct interventions you provide to children and/or youth and their families. (may use point form)

Question Title

* 8. If you deliver any of these interventions with collaborative partners, please list the partner organizations.

Question Title

* 9. Please provide links to your website or social media accounts.

Question Title

* 10. Please upload impact reports, annual reports, or any other documentation demonstrating impact of your programs.

Question Title

* 11. Is there anything else you'd like us to know about your work?