HACLA NGs Gym Services - Community Partners - Describe Your Services

Nickerson Gardens Gym After 3 Program and Community Partner Survey

Purpose:
This survey collects important demographic and program profile information from our community partners.

Your input helps us better understand the services provided, enhance coordination, and ensure we’re meeting community needs effectively. In other words, filling this out protects you and us.

Instructions:
Please complete the following questions as fully and accurately as possible. If a question does not apply to your organization, please indicate “N/A.”

Why This Survey Is Important
Los Angeles Metropolitan Churches (LAM) is the backbone organization at Nickerson Gardens. Critical to the management of HACLA Gym Services, is the presence of dedicated residents and a skilled and experienced 'backbone' entity to coordinate the day to day schedule and activities. The backbone works across multi-service stakeholder organizations to develop a shared, collaborative mindset that can shepherd systemic change and save lives.

Your feedback helps us:

Improve communication and collaboration.
Ensure programs are well-coordinated and impactful.
Create diverse opportunities for youth that meet their needs.

Our Goals for Nickerson Gardens

The Nickerson Gardens Gym already offers basketball, football, and boxing, with baseball coming in summer 2025. We know youth and families also want:

Workshops, field trips, and history programs.
Art, innovation, STEM, and technology activities.
Health education, Health Services, Mental Health/Healing services, cooking, and nutrition classes.

We’re committed to providing educational and recreational programs that encourage:

Physical and mental well-being.
College readiness.
Lifelong learning and growth.

How You Can Help
Complete this short survey to share details about your services and important staff names and contact information too.

If a question doesn’t apply to you, just select “not applicable.”

Questions? Contact Us! Ask for ChaReese Taylor.

Email: info@lametrochurches.org

Phone: 323-238-0446 (leave a message if no answer, and we’ll get back to you within 24 hours).

Thank you for helping us make Nickerson Gardens a place of opportunity for youth and families.

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* 1. Organization Physical Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Organization Name

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* 3. Contact Person Name at Organization (person authorized to represent organization)

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* 4. Phone number

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* 5. Contact person Email Address

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* 6. Staff #1 Name (First and Last) - skip if not applicable

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* 7. Staff #2 Name (First and Last name)- skip if not applicable

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* 8. Describe the Services you plan to provide at Nickerson Gardens

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* 9. Select your proposed service(s), check all that apply

Basketball

Boxing Fitness/Skills

Boxing and Brunch/Mental Health for Athletes

Soccer/USA Soccer

Baseball

Skate Boarding

Afterschool tutoring

Youth Development, Enrichment and Mentoring

LGBTQIA+ Youth Programs

Dance (Girls Class)

Boys ROC/Girls Roc

Chess Club

College Readiness and High School Graduation Support

Digital Media Training

Balloon Artist Club

Baseball (pending Summer 2025)

Football Clinics /LA RAMS

Mental Health Services

Health Education and Promotion

Senior Programming/Services

Nutrition and Cooking Classes

Field Trips and Events

Art In the Gardens

Tutoring/Homework Assistance

College Readiness/Campus Tours

Performing Arts and Cultural Celebrations

Outdoor Family Fitness

Mindfulness for Athletes

Environmental Education

Life Skills Classes

Nature Exploration and Gardening

In-Door/Outdoor STEM Lab

Technology/Coding Education and Events

Other (please specify)

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* 10. Do you have at least one half time or one full time, Spanish Speaking Staff/ contractor in Your Program?

Yes

Other (please specify)

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* 11. If No to #8, please explain how you will handle Spanish speaking participants.

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* 12. What qualifies you for the services you propose to provide? Give brief background on organization, years in services, education, training and or certification, license if applicable.

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* 13. What day(s) of the week will/are your services provided at NGs?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday (by appointment only. must be approved by LAM in advance. weekends is considered overtime.)

Other (please specify)

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* 14. What hours are you proposing to provide services at the NGs Gym and/or outside the playground/skate park?

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* 15. Specifically, where are your services to be provided on-site at NGs? (If applicable)

NG Gym

Back of Gym outside

Front of Gym outside

Outside Skate Park

Outside Handball Area

Jobs Plus Bungalow

Outside Playground

Sage Center

Computer Lab

Other (please specify)

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* 16. How many youth participants do you plan to serve each month?

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* 17. Of this total, how many participants will be in age categories below?

3-5 years old

6-14 years

15-18 years

Young People/Adults (ages 19 and up)

Non NGs youth between 10-17 years old

Seniors (55 years and older)

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* 18. How many of the participants to be engaged/served are in the following ethnic/racial groups?

African American

Hispanic/Latino/x

Asian American

White

Biracial

Unsure

Other

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* 19. How many adults do you anticipate on site from your program and describe their roles?

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* 20. How many outreach activities are already completed or will you complete to increase HACLA residents' participation? write NA if not applicable

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* 21. Please describe these outreach activities. (If applicable)

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* 22. Will you conduct outreach to NGs residents through door to door knocking or on site canvassing? Check as many as applicable.

Yes

Flyers

Canvassing

Door Knocking

Text messaging/SMS

Emails

Phone Calls

All the Above

Other (please specify)

None of the above

HACLA NGs Gym Services - Community Partners - Describe Your Services

Nickerson Gardens Gym After 3 Program and Community Partner Survey

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* 1. Organization Physical Address

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* 2. Organization Name

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* 3. Contact Person Name at Organization (person authorized to represent organization)

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* 4. Phone number

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* 5. Contact person Email Address

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* 6. Staff #1 Name (First and Last) - skip if not applicable

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* 7. Staff #2 Name (First and Last name)- skip if not applicable

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* 8. Describe the Services you plan to provide at Nickerson Gardens

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* 9. Select your proposed service(s), check all that apply

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* 10. Do you have at least one half time or one full time, Spanish Speaking Staff/ contractor in Your Program?

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* 11. If No to #8, please explain how you will handle Spanish speaking participants.

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* 12. What qualifies you for the services you propose to provide? Give brief background on organization, years in services, education, training and or certification, license if applicable.

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* 13. What day(s) of the week will/are your services provided at NGs?

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* 14. What hours are you proposing to provide services at the NGs Gym and/or outside the playground/skate park?

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* 15. Specifically, where are your services to be provided on-site at NGs? (If applicable)

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* 16. How many youth participants do you plan to serve each month?

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* 17. Of this total, how many participants will be in age categories below?

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* 18. How many of the participants to be engaged/served are in the following ethnic/racial groups?

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* 19. How many adults do you anticipate on site from your program and describe their roles?

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* 20. How many outreach activities are already completed or will you complete to increase HACLA residents' participation? write NA if not applicable

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* 21. Please describe these outreach activities. (If applicable)

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* 22. Will you conduct outreach to NGs residents through door to door knocking or on site canvassing? Check as many as applicable.

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* 23. Please describe any factors that may cause a change in participation. write NA If Not applicable.

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* 24. Are you interested in hiring youth workers in your program?

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* 25. Are you interested in hiring adult residents (HUD Section 3 Local Hires) in your program?

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* 26. If yes, briefly tell us more about your workforce needs.

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* 27. Upload Images about your services if applicable (brochure)

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* 28. Upload images from your services if applicable (videos)

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* 29. Explain how your project will improve youth development opportunities and outcomes for Nickerson Gardens youth?

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* 30. Please share anything else you want us to know about your project?