NLCCC Community Outreach Survey

We Need Your Help!

NLCCC will need help getting the word out about our planning process and surveying community members. This will include making presentations at community meetings; distributing and collecting surveys at the meetings; going door-to-door with surveys and brochures, and surveying people in public spaces. We also want to make presentations throughout the community. If you can help in anyway, please let us know. The brochures and surveys will be done over the next week or so, and we can start a canvassing and outreach schedule shortly thereafter. In the meantime, please complete this form so we can follow up with you with an assignment that matches your preferences. 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

1.Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.Are you willing to help community outreach in any of the following ways? If so, please check all that apply.

Host a public meeting at my church, school business or community-based organization.

Go door to door with a group of people to distribute meeting flyers, community surveys and/or brochures

Make phone calls to remind people of meetings and events.

Set up a table at a community event or public place to distribute meeting flyers, community surveys and/or brochures.

Be responsible for distributing and collecting community surveys at my church or community-based organization.

Other (please specify)

3.We have a Power Point presentation that outlines who NLCCC is, what we do, and how the planning process will work. We will train community ambassadors to make presentations at schools, churches, and at community meetings. Are you interested in being trained to do this? If so,we will work around your schedule to set up appointments.

Yes

4.What timeframes are good for you to assist? (Please check all that apply.)

5.Please share your comments below.