Memphis 3.0 5-Year Update Community Partner Application

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in becoming a Community Partner for the Memphis 3.0 5-Year Update! For more information on Memphis 3.0, please visit the website here.

The more information about your organization you can provide, the better we can understand how your organization can contribute to this important initiative.

PLEASE NOTE: This is a paid opportunity.

Once you submit your application, Markuitta Washington will be in touch with you via email (markuitta@bldgmemphis.org) to answer any questions you may have.

We look forward to hearing from you!

Contact Information

Primary Contact Name *

Organization

Street Address and Zip Code *

Neighborhood Name *

Phone Number *

Email *

Organization Type and Status

Check One That Applies *

Community-based Nonprofit Organizations- With at least one paid staff person may apply.

Neighborhood Based Groups- Such as (but not limited to) Neighborhood Association, Parks Group, or Faith-based groups may apply.

Individual Organizers- Individual organizers connected with a nonprofit who would like to participate.

Geography

Please indicate what area you want to engage. You can provide a neighborhood name, zip code, boundaries and/or planning district. Please be as specific as possible. Planning District Maps.

Engagement Strategies

Tell us how you plan to increase awareness and participation in the Memphis 3.0 process. Check all that apply.
*

Neighborhood meetings

House meetings

Going door to door

Distributing flyers

Info and articles in neighborhood newsletter

Social Media, such as Facebook and Next Door

Promote at neighborhood events

Other:

Required

What is your target outreach number for this engagement outreach effort? This information will help us set your engagement goal.

Experience

Please indicate what experience you or your organization has in community outreach and engagement.

Resources Available

Please indicate what resources your organization can offer. Examples include paid staff, strong network of volunteers, and community partnerships. Please be as specific as possible, for example, you work routinely with 7 churches, have monthly meetings attended by 25 people, have a mailing list of 750, etc.

Budget and Funds

Depending on the organization type selected above how do you plan to use these funds to achieve the outreach goals? How are you planning on spending the money. Example you plan to spend $200 on a certain activity etc.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete and that I am an authorized representative of the listed organization.

Name and Date *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Building Memphis.

Does this form look suspicious? Report

Forms