Community Resource Survey

General Program Information

 
Thank you for your interest our program. By completing this survey, your collaboration with Roots & Shoots will be submitted to our team for review. This survey is designed to be completed by organizations or individuals interested in sharing their expertise. Please include as much information as possible so we may best assess your organization or field of expertise for a successful collaboration.

This survey serves as a tool for non-profit organizations and individuals only. If this does not describe your organization or expertise, please contact Erin Viera, Roots & Shoots National Director at eViera@janegoodall.org for other opportunities.
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1. Program information:
2. Social media:
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3. Areas of expertise. Please check all that apply:
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4. Approximately how many people do you or your program serve?
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