I. Personal Information

Your Name:
Your Primary E-mail Address:
Your Mailing Address:
City:State:Zip:
Your Phone Number(s): ()
If you have a web page what is the URL?

II. Nonprofit Affiliation

Are you a representative of a Nonprofit Organization? yesno (If No Move on to Section III.)
Which Nonprofit Organization?
Mailing Address:
City:State:Zip:
Main Contact Person (&Title):
Nonprofit's E-mail Address:
If your Nonprofit has a web page what is the URL?
If your organization does not have a web page up, or an e-mail address, are you interested in getting your organization online? yesno
Your Phone Number(s) (:) More Phone Number(s): ()
May we make your organizational information publically available?yesno

III. Community Resource Sharing / NPRC Questions

What kinds of Non-profit, Community Projects, and Social Change Activities are you involved in? (Please describe activity, group, and issues)


What are some of the needs of your Nonprofit / Social Change Projects and Groups (besides money)?

Do you have any ideas / visions for Community Projects / Activities that are sitting on the backburner? If yes, what are they and what is keeping these visions from manifesting?

Would you be interested in getting involved in the NPRC project? yesno
Would you be interested in joining an online mailing list for the NPRC? yesno
Later in the year, as part of the NPRC project, we will be conducting an in depth survey, accompanied with face-to-face interviews, by a research team. Would you be interested in participating? yesno
May we quote you on some or any of your responses here in section III? Be specific what we can or cannot use publically. If we do quote you would you prefer to be anonomous?

Any comments / suggestions you might have about the NPRC are highly appreciated.

IV. Other

Please Check all that apply:
I am a member of the Oregon Country Fair Family
Booth and/or Crew
I am a member of the Community Village
Booth:
I am a visitor to the Oregon Country fair this year
Would you be interested in joining the online mailing list ocf_talk to chat about the Fair all year round? yesno
If you are a member of the Community Village would you be interested in joining the online mailing list cv_talk to talk about Village matters?yesno
What are some of your favorite things about the Oregon Country Fair?


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