Circle V Usage Interest Form

The Indigenous and Environmental Resource Center at Circle V will be designed to be used by the community for gatherings, educational purposes, office and shared office space, field trips and more. Share with us your interest in using the property. For questions please contact circlev@usgbccc.org

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* 1. Contact Name:

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* 2. Contact email:

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* 3. Contact phone number:

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* 4. Name of organization:

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* 5. Type of organization:

O Tribe

O Tribal organization

O Indigenous 501c3

O Environmental 501c3

O Other nonprofit, please specify:

O K-12 School

O College / University

O For-profit organization

O Other

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* 6. Which focus of Circle V are you most interested in (select all that apply)

Indigenous Culture

Green Building Demonstration

Access to indigenous plants / garden

Access to River

Other (please specify)

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* 7. For what purpose are you interested in using Circle V (select all that apply)

As workspace

For field trips

For educational meetings

For professional meetings

For art workshops

To exhibit art

To gather materials

To store materials

For gatherings

For retreats

For walks

For overnight stays

To maintain the garden space

For temporary usage during emergencies

Other (please specify)

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* 8. What facilities are you interested in using at Circle V:

Private office

Shared workspace

Educational room

Conference room

Gallery space

Art studio

Storage room

Inside kitchen

Outside kitchen

Inside gathering space

Outside gathering space

Community garden

Native plant garden above the bluff

Natural space along the river

Second house for overnight stays

Other (please specify)

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* 9. Do you currently have an office?

O Yes

O No

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* 10. When would you like to use the facilities at Circle V?

9-5 weekdays

Weekdays in the evening

Weekdays in the morning

Weekends in the morning

Weekends in the afternoon

Other (please specify)

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* 11. How many people from your group would use the property (approximately)?

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* 12. Are you interested in helping with work at the circle V property?

Yes, we are interested in volunteering with other organizations

Yes, we are interested in leading volunteer opportunities

Yes, we are interested in being part of managing the property

Other (please specify)

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* 13. What charging policy are you most comfortable with?

One time usage fee / rental

Monthly Membership

Monthly Rental

Yearly Contract

Inter-agency Agreement

In-kind Contributions

We would not be able to pay

We don't want to pay

We only want to go for walks

Other (please specify)

Circle V Usage Interest Form

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* 1. Contact Name:

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* 2. Contact email:

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* 3. Contact phone number:

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* 4. Name of organization:

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* 5. Type of organization:

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* 6. Which focus of Circle V are you most interested in (select all that apply)

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* 7. For what purpose are you interested in using Circle V (select all that apply)

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* 8. What facilities are you interested in using at Circle V:

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* 9. Do you currently have an office?

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* 10. When would you like to use the facilities at Circle V?

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* 11. How many people from your group would use the property (approximately)?

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* 12. Are you interested in helping with work at the circle V property?

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* 13. What charging policy are you most comfortable with?

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* 14. Do you have any other comments / information / questions?