Pollinator Safe Neighborhood Coordinator Survey
After you have filled out this form, we will be in touch. If you are no longer interested in being a PSN Coordinator, please let us know in the first question and return the form to us. if you are interested now, or could be in the future, we ask that you take just a few minutes to fill this out. Thank you!
Are you still interested in being a PSN Coordinator?
Yes, I am!
No, I am not.
Yes, but not at this time.
I have completed my neighborhood!
Preferred contact method
Please provide your neighborhood name and approximate boundary streets.
Please provide us with your current address
Please provide us with your current status (ex. I have not started, I have talked to my neighbors (roughly how many), I have completed my neighborhood etc.)
What additional help can we provide you on this project?
I'd like some signs (we ask people for a $10 donation for them to cover costs)
I need some more materials to hand out to neighbors
I'd like someone to do a presentation to my neighbors or other group
Questions you have at this time:
Send me a copy of my responses.
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