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NEIGHBORHOOD LEADERS INCENTIVE
Through a membership system Neighborhood Leaders can access:
Exclusive Discounts
: Local business savings as a thank-you for community service.
Points & Perks
: Earn rewards for organizing events, attending meetings, or supporting neighbors.
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* Indicates required question
Please provide best phone number and email address
for the contact person of the household?
(This information will only be used for follow-up related to this application and will remain confidential.)
Your answer
1. How long have you lived in this neighborhood? (Please provide the neighborhood's name you live in).
*
Less than 5 year
6–10 years
10 –24 years
25+ years
2. Have you participated in any community or neighborhood events in the past year?
*
Less than 1 year
Yes
No
3. Do you currently serve in any leadership or volunteer roles in your neighborhood?
*
Yes
No
4. How interested are you in becoming a Neighborhood Leader?
*
Very interested
Somewhat interested
Not sure
Not interested
5. What motivates you to support your neighborhood? (Check all that apply)
*
Sense of community
Personal recognition
Making a difference
Networking or meeting neighbors
Earning rewards or perks
Other:
6. Which of the following would most motivate you to become a Neighborhood Leader?
*
Earning rewards/points
Getting exclusive discounts
Being recognized
Having a say in neighborhood decisions
Learning leadership skills
Required
7. Which type of local business discounts would you value the most? (Pick up to 3)
*
Restaurants and cafés
Grocery stores
Home improvement stores
Fitness centers or gyms
Childcare or educational services
Other:
Required
8. Which activities would you be most willing to earn points for? (Check all that apply)
*
Organizing or hosting events
Attending community meetings
Helping neighbors in need
Promoting neighborhood news online
Participating in clean-up or beautification efforts
Other:
Required
9. How often would you realistically be able to participate in leadership activities?
*
Weekly
Bi-weekly
Monthly
Occasionally/as available
Required
10. What type of rewards would you like to see offered for points earned?
*
Gift cards
Event tickets
Local business vouchers
Recognition at community events
Other:
Required
11. How do you prefer to track your points and perks?
*
Mobile app
Website
Printed tracker/log
Email updates
Required
12. Would you be willing to pay a small membership fee to join the Leadership Incentive program if the value of rewards exceeds the fee?
*
Yes
Maybe
No
Required
13. What barriers might prevent you from joining or staying active in the program?
*
Time constraints
Lack of information
Not enough incentives
Transportation/accessibility
Other: _______
Required
14. How would you prefer to be contacted about Neighborhood Leader opportunities?
*
Email
Text/SMS
Phone call
Social media
Other:
Required
15. Any additional suggestions or ideas to improve the Neighborhood Leadership Incentive?
*
Your answer
Optional:
Tell Us About Yourself
We collect this information to help ensure our programs are inclusive and equitable. Your responses are optional and confidential.
Which of the following describe you?
(Check all that apply)
Black / African American
Hispanic / Latine / Latinx
Indigenous / Native American / Alaska Native
Asian / Asian American
Native Hawaiian / Pacific Islander
White
Multiracial / Mixed
LGBTQIA+
Person with a disability
Veteran
Immigrant / First-generation
Senior (age 60+)
Youth (age 18 or under)
Prefer not to say
Other:
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