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Community Profile or Master Plan Visioning Programs |
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1) Town Name:
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2) Name of Primary Contact Person:
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3) Affiliation (e.g., town board, community organization, concerned citizen, etc.)
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4) Mailing Address:
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5) Phone: (Day):
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6) Phone: (Evening):
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7) Email:
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8) Please check the community assistance program you are applying for:
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9) Is there a group or committee that is putting forth this application?
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10) If yes what is the name of the group/organization?
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11) Please check the official community boards and/or other groups actively supporting this application, and provide contact name and phone number/e-mail address for each:
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12) Select Board contact name and phone number/e-mail address
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13) Planning Board contact name and phone number/e-mail address
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14) Conservation Commission contact name and phone number/e-mail address
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15) Zoning Board contact name and phone number/e-mail address
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16) Board Subcommittee contact name and phone number/e-mail address
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17) Other contact name and phone number/e-mail address
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18) If applicable, other (details)
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19) Please explain why you are applying for the Community Profile or Master Plan Visioning program, and what goals do you hope to achieve by working with UNH Cooperative Extension. Please be detailed and specific.
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20) Please list other organizations/groups/programs your community is currently working with on related proejcts and/or will be working with.
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21) If applicable, other (details)
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22) How did you hear about the UNH Cooperative Extension Community Assistance/Profiles program?
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23) If applicable, name of community
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24) If applicable, describe other
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Now we'd like some background information about your perceptions of the community you're applying for. This information will help provide a baseline prior to the program you plan to implement to help evaluate what changes occurred as a result of participating in the program. The information you provide will not be shared with anyone other than UNH Cooperative Extension.
Please check off in the boxes below each question of where your community stands on the following:
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Health and Well-Being
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25) Are a variety of recreational opportunities available to community residents of all ages? (e.g., walking/hiking trails, gymnasiums, ball fields/courts, swimming, etc.)
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26) Does your city/town's Master Plan have provisions that support walkability? (e.g., safe pedestrian/bike routes, non-motorized transportation options, investment in public parks and recreation lands, etc.).
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27) Are there educational and outreach programs addressing healthy food and nutrition that are available to community residents of all ages? (e.g. nutrition seminars, family nutrition programs, school nutrition education, etc.)
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Economic Opportunity
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28) Does your community have a committee(s) or organization(s) that addresses local economic development issues and/or priorities? (e.g. Main Street program, local Chamber of Commerce)
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29) Does your community have an up-to-date economic development plan (perhaps as a component of the Master Plan)?
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30) Does your community's mix of housing types accommodate a diversity of housing needs? (e.g. low income housing, workforce housing, apartments, assisted living, senior housing)
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Cultural and Historic Heritage
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31) Does your community have an active historic preservation committee or historical society?
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32) Does your town/city's Master Plan specifically identify actions the community could take to preserve cultural and historic resources?
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33) Does your community have a committee/organization that effectively addresses natural resources or land protection issues? (e.g. conservation commission, open space committee)
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34) Does your city/town seek public input from a diverse mix of community residents around issues that pertain to the natural environment? (e.g. via surveys, public hearings, citizen councils)
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35) Does your community have a Natural Resources Inventory (NRI)? Note: this may be part of the Master Plan.
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36) Are residents in your community able to recycle paper, plastic and metal by means of a recyclables pick-up service or a local drop-off site?
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Social Networks and Civic Engagement
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37) Does your community host annual events or celebrations effective at bringing residents together?
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38) Does your community have informal meeting places where people gather? Please check all your community has
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39) If applicable, other (please list)
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40) Does your town/city use a variety of means of sharing information with the public? Please check all your community currently uses:
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41) If applicable, other (please list)
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Community Services and Infrastructure
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42) Are non-school sponsored activities and programs available to youth in the community? (e.g. YMCA/YWCA, Boy/Girl Scouts, 4-H, other interest clubs)
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43) Does your community offer educational opportunities for adult learners? (e.g. continuing education, GED, ESL, basic lifeskills)
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44) Does your community host activity groups specifically oriented toward senior citizens?
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45) Does your town/city have a capital improvements plan that addresses basic infrastructure needs? (e.g. maintenace and construction of roads, recreation facilities, sewer and water lines)
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46)
COMPLETED APPLICATIONS SHOULD BE SENT TO:
Charlie French, State Specialist - Community & Economic Development
UNH Cooperative Extension
131 Main Street 204B Nesmith Hall
Durham, NH 03824
Telephone: 862-0316 Fax: 862-0107
Email: Charlie's Email
Website: http://extension.unh.edu/CommDev/CommDev.htm
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