This form is being administered by The American Assembly: http://americanassembly.org. If you have any questions, please contact firstname.lastname@example.org.
A note on information privacy: The information you provide in the questionnaire below may be shared with other members of the Community of Practice but will not be otherwise published without your permission. Note that there are two intended outlets for information gathered from the questionnaire: 1) a matrix of middle neighborhood organizations and the services they provide (similar to: http://middleneighborhoods.org/org-matrix) and 2) case studies for research. You will have multiple opportunities to opt-out of information sharing below.