We Value Your Service

We Need Your Help!

NLCCC has been in existence since April, 2015. As a result of your support, we have hit the ground running, and have covered more ground in a shorter period of time than we would have ever imagined from a purely volunteer effort. We would like to estimate the value of your contributions. Please, complete the form below so that we may begin to quantify your impact. We will share the results once we get a critical mass of responses. Your individual data will not be made pubic.Your assistance, as always, is appreciated. Any questions you have may be directed to

Valerie F. Leonard, consulting@valeriefleonard.com

Rodney Brown, rodney@new-covenantcdc.org

Dennis Deer, drdeer@deerehabservices.com

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. If you and/or your staff have volunteered for NLCCC between April 1, 2015 and now, in what types of activities have you engaged?

Partcipating in planning meetings to develop the application to CMAP

Participating in planning meetings to develop infrastructure for NLCCC

Serving on the conference planning committee

Participating on the Steering Committee

Serving as a subcommittee chairperson

Participating in subcommittee meetings

Planning activities for NLCCC

Conducting community outreach

Sharing announcements and other resources

Assisting in developing the website, social media, brochure and other collateral materials

Participating in NLCCC online conversations on social media

Participating in the NLCCC conference

Participating in NLCCC breakouts (facilitating discussion, compiling notes, compiling logic model, etc._

Participating in marketing and outreach efforts

Other (please specify)

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* 3. How many hours would you estimate that you and/or staff members have spent participating in volunteer activities for NLCCC?

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* 4. How much would you estimate the value of volunteer hours performed by you and/or your staff on behalf of NLCCC?

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* 5. Have you, or your organization provided any in-kind products or services to NLCCC? If so, please indicate below.

Meeting refreshments

Facility

Technical assistance (outside of normal meeting participation)

Printing

Refreshments

Product discounts

Other (please specify)

We Value Your Service

We Need Your Help!

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* 1. Address

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* 2. If you and/or your staff have volunteered for NLCCC between April 1, 2015 and now, in what types of activities have you engaged?

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* 3. How many hours would you estimate that you and/or staff members have spent participating in volunteer activities for NLCCC?

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* 4. How much would you estimate the value of volunteer hours performed by you and/or your staff on behalf of NLCCC?

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* 5. Have you, or your organization provided any in-kind products or services to NLCCC? If so, please indicate below.

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* 6. How much would you estimate the value of your in-kind donations of products and services to be?

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* 7. Please share your comments below.

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