NeighborWorks America Place-based Training Assessment NeighborWorks America Place-based Training Assessment Place-Based Training Request Form
Name of Site _______________________________________________________________
Location of Site: ______________________________________________________________________ City State Site Coordinator____________________________________________________________
Steering Committee Chairperson __________________________________Email: _____________________
Contact number: ( ) ________________________ Alternative: ( ) __________________________
Email address: _________________________________________
Proposed Training Topic (please pick your first and second choices from the list below)
_____ Increasing Residents Involved in Your Organization 1 day _____ Developing Your Leadership Potential 2 days _____ Getting Things done in the Neighborhood through Strategic Collaborations 2 days _____ Community Sustainability Strategies 1 day _____ Mobilizing Youth for Community Building 1 day
Potential Training Dates (Blackout Dates: May 5-9; June 19-22; and August 18-22, 2008)
First Choice _________________________________
Second Choice ______________________________
Please indicate the address of the proposed training location ____________________________________
*Training cannot be offered as part of the steering committee meeting agenda.
By submitting this training request, you acknowledge you have read and agree to all of the requirements associated with the delivery of a NW Place-Based Training. All training request must be discussed with CCDO Program Manager before submission for the CCDO Technical Assistance Officer. All training requires a minimum of eight weeks advance notice.
Training Assessment Form
Completing the following assessment will help NeighborWorks America determine the most appropriate training for the site. CCDO recommends the Steering Committee assist with completing this assessment.
In what year did your site receive its Weed and Seed Communities designation? _________
Does your advisory board/Steering Committee (SC) currently include key decision-making representatives from the following categories? Nonprofit community-based agencies 00/font> Yes 00/font> No Private sector 00/font> Yes 00/font> No Target area residents 00/font> Yes 00/font> No Local government officials 00/font> Yes 00/font> No Law enforcement 00/font> Yes 00/font> No Crime prevention organizations 00/font> Yes 00/font> No Faith-Based organizations 00/font> Yes 00/font> No Others (List) ______________________________________
How many people currently serve on the steering committee? Please only count members who consistently attend meetings. ______
How many of the steering committee members are residents? ______
Does the steering committee have any youth members? 00/font> Yes 00/font>No
If yes, how many youth? ______
How often does your steering committee meet? 00/font> Monthly 00/font> Quarterly 00/font> Twice per month 00/font> Every other month 00/font> Intermittently, as needed for business 00/font> Other (specify) ____________________________
Does each steering committee member have a copy of your: By-laws 00/font> Yes 00/font> No Weed and seed strategy 00/font> Yes 00/font> No Policies and procedures 00/font> Yes 00/font> No Grant applications 00/font> Yes 00/font> No Budgets 00/font> Yes 00/font> No
What are some of your major capacity building priorities? (check up to three) Clarifying roles and responsibilities among steering committee members Hiring a site coordinator Evaluating the impact of programs and services Getting youth involved in leadership roles Recruiting more residents to become involved with the steering committee Implementing a component of the Strategy. Law Enforcement Community Policing Prevention, Intervention and Treatment Neighborhood Restoration Developing a sustainability plan before the end of the Weed and Seed funding Developing or maintaining collaborations Strategic planning Securing more funding for programs
Will this training be promoted to multiple Weed and Seed sites in the Region? (Highly recommended)
5Yes 5No
When was the last time your site received technical assistance from CCDO? _____________________
What was the focus of this technical assistance?
Please submit by email, the completed Request Form and Assessment to

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