DIRECTORY OF MICHIGAN NEIGHBORHOOD
ASSOCIATIONS SURVEY |
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Which of the following represents your type of organization? |
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| Neighborhood Association _____ | Block Club _____ | Neighborhood Watch _____ |
| Other: ______________________________________________________________________ | ||
| Organization's Name: | __________________________________________________ |
| Organization's Address: | __________________________________________________ |
| __________________________________________________ | |
| Organization's Phone #: | __________________________________________________ |
| Organization's Fax #: | __________________________________________________ |
| Organization's E-mail: | __________________________________________________ |
| Organization's Webpage: | __________________________________________________ |
| Contact Person/Officer: | __________________________________________________ |
| Address (if different from above): | __________________________________________________ |
| __________________________________________________ | |
| Phone # (if different from above): | __________________________________________________ |
| Fax # (if different from above): | __________________________________________________ |
| E-mail (if different from above): | __________________________________________________ |
| When was the neighborhood organization established? __________________________________ | |
| What is the neighborhood organization's active membership _______ | total membership _______ |
| What is the approximate number of city blocks in your neighborhood organization? _______ | |
| Please check the activities your neighborhood organization is involved in: | |
| a. ______ Beautification activities | g. ______ Improving city services |
| b. ______ Conflict resolution | h. ______ Influencing public policy |
| c. ______ Crime related activities | i. ______ Newsletters |
| d. ______ Education related activities | j. ______ Political activities |
| e. ______ Food and Nutrition activities | k.______ Social activities |
| f. ______ Housing related activities | l. ______ Zoning |
Other: _____________________________________________________________________ |
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| __________________________________________________________________________ | |
By October 31 2004, please fax the completed survey to 517-432-0727; or mail to:
Neighborhood Associations of Michigan
c/o Michigan Regional Community Policing Institute
1407 South Harrison Road - Suite 343
East Lansing, Michigan 48823