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 Place-Based Training Request Form

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file time: 2008-02-16

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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

   download Place-Based Training Request Form

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